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1306571617
VIVIAN BOLDEN
BENTON, AR
NPI
1306571617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR P2312002)
Enumeration Date
2022-07-20
Last Update Date
2023-12-07
Business Address
VIVIAN BOLDEN LPC
910 N EAST ST
BENTON, AR 72015-3327
Phone number: 501-381-2001
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Mailing Address
VIVIAN BOLDEN LPC
910 N EAST ST
BENTON, AR 72015-3327
Phone number: 501-381-2001
Copy
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