DORENE M BOLTZ

FT JACKSON, SC
NPI1205007416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  7723)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: GA  CSW003589)
Enumeration Date2008-03-14
Last Update Date2025-02-14
Business Address
DORENE M BOLTZ
4575 8TH DIVISION RD
FT JACKSON, SC 29207
Phone number: 803-751-5911
Mailing Address
DORENE M BOLTZ
4575 8TH DIVISION RD
FT JACKSON, SC 29207
Phone number: 803-751-5911