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1649830647
JEREMY CRAIG BOLDEN
LACEY, WA
NPI
1649830647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC60970302)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
Mr. JEREMY CRAIG BOLDEN MSW
4804 LACEY BLVD SE STE A
LACEY, WA 98503-5733
Phone number: 360-799-5782
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Mailing Address
Mr. JEREMY CRAIG BOLDEN MSW
6049 MERLOT LN SE
LACEY, WA 98513-2243
Phone number: 253-335-0607
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