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1518277300
WANDA BOLDEN
INGLEWOOD, CA
NPI
1518277300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CATC - B1109231901)
Enumeration Date
2010-10-14
Last Update Date
2015-02-17
Business Address
-- WANDA BOLDEN
323 N PRAIRIE AVE 323 NORTH PRAIRIE AVENUE
INGLEWOOD, CA 90301-4502
Phone number: 310-846-2100
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Mailing Address
-- WANDA BOLDEN
4760 SEPULVEDA BLVD. 323 NORTH PRAIRIE AVEENUE
INGLEWOOD, CA 90301
Phone number: 310-751-5344
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