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1851812549
TRAVIS BOLDEN
LAKE CHARLES, LA
NPI
1851812549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-03
Last Update Date
2022-07-21
Business Address
TRAVIS BOLDEN
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
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Mailing Address
TRAVIS BOLDEN
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Copy
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