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1306225842
LISA BOLDEN
HAMMOND, LA
NPI
1306225842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- LISA BOLDEN
208 E THOMAS ST
HAMMOND, LA 70401-3316
Phone number: 985-956-7823
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Mailing Address
-- LISA BOLDEN
208 E THOMAS ST
HAMMOND, LA 70401-3316
Phone number: 985-956-7823
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