LARRY BOLDEN

DETROIT, MI
NPI1265772446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MI  6803086288)
Enumeration Date2013-02-25
Last Update Date2013-02-25
Business Address
-- LARRY BOLDEN BA, SST
2939 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
Mailing Address
-- LARRY BOLDEN BA, SST
7512 WOODVIEW ST APT. 203
WESTLAND, MI 48185-5937
Phone number: 313-396-5300
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