CHARISSA DAWN BOLDRIDGE

EMPORIA, KS
NPI1578800199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KS  2433)
Enumeration Date2013-01-16
Last Update Date2013-01-16
Business Address
-- CHARISSA DAWN BOLDRIDGE TLMLP
618 COMMERCIAL ST
EMPORIA, KS 66801-3969
Phone number: 620-343-7746
Mailing Address
-- CHARISSA DAWN BOLDRIDGE TLMLP
618 COMMERCIAL ST
EMPORIA, KS 66801-3969
Phone number: 620-343-7746
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