CHARMAINE CHANNELLE GOGO BOLTON

SPOKANE, WA
NPI1801787080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101Y00000X Counselor
(Licence: WA  SWIA.SC.70018975)
Enumeration Date2025-07-14
Last Update Date2025-08-22
Business Address
CHARMAINE CHANNELLE GOGO BOLTON
5901 N LIDGERWOOD ST
SPOKANE, WA 99208-5095
Phone number: 509-838-4651
Mailing Address
CHARMAINE CHANNELLE GOGO BOLTON
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651