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1902284979
JOHN EDWARD BOLDING
MONTICELLO, AR
NPI
1902284979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 7556-M)
Enumeration Date
2015-05-11
Last Update Date
2018-04-03
Business Address
JOHN EDWARD BOLDING LCSW
790 ROBERTS DR
MONTICELLO, AR 71655-5723
Phone number: 708-226-5856
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Mailing Address
JOHN EDWARD BOLDING LCSW
790 ROBERTS DR
MONTICELLO, AR 71655-5723
Phone number: 708-226-5856
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