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1174200018
MICAH ALLEN BOLDEN
DALLAS, TX
NPI
1174200018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 107915)
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
MICAH ALLEN BOLDEN LMSW
1910 PACIFIC AVE
DALLAS, TX 75201-4529
Phone number: 214-643-6820
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Mailing Address
MICAH ALLEN BOLDEN LMSW
8850 FERGUSON RD APT 3049
DALLAS, TX 75228-8325
Phone number: 706-333-3426
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