BRANDON BOLTINGHOUSE

WOODBRIDGE, VA
NPI1861235921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  090416803)
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
BRANDON BOLTINGHOUSE LCSW
903 TOTTEN RD
WOODBRIDGE, VA 22191-1424
Phone number: 217-493-2996
Mailing Address
BRANDON BOLTINGHOUSE LCSW
903 TOTTEN RD
WOODBRIDGE, VA 22191-1424
Phone number: 217-493-2996
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