BURT BOLT

MOLINE, IL
NPI1649382706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180-005984)
Enumeration Date2006-08-31
Last Update Date2007-12-06
Business Address
-- BURT BOLT LCPC
2100 52ND AVE
MOLINE, IL 61265-6366
Phone number: 309-797-2900
Mailing Address
-- BURT BOLT LCPC
2100 52ND AVE
MOLINE, IL 61265-6366
Phone number: 309-797-2900
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