JACQUELINE ELIZABETH BOLTZ

PORTLAND, OR
NPI1497394977
Former NameJACQUELINE ELIZABETH POTTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L11479)
Enumeration Date2019-12-31
Last Update Date2024-01-26
Business Address
JACQUELINE ELIZABETH BOLTZ LCSW
5200 S MACADAM AVE STE 460
PORTLAND, OR 97239-3836
Phone number: 503-912-4930
Mailing Address
JACQUELINE ELIZABETH BOLTZ LCSW
3385 SE FRANCIS ST
PORTLAND, OR 97202-3053
Phone number: 720-563-1321
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