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1649382706
BURT BOLT
MOLINE, IL
NPI
1649382706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-005984)
Enumeration Date
2006-08-31
Last Update Date
2007-12-06
Business Address
-- BURT BOLT LCPC
2100 52ND AVE
MOLINE, IL 61265-6366
Phone number: 309-797-2900
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Mailing Address
-- BURT BOLT LCPC
2100 52ND AVE
MOLINE, IL 61265-6366
Phone number: 309-797-2900
Copy
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