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1992941603
JAKE BOLDEN
PHILADELPHIA, PA
NPI
1992941603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-12-30
Last Update Date
2008-12-30
Business Address
-- JAKE BOLDEN M.S. CFC, CJAs.
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2691
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Mailing Address
-- JAKE BOLDEN M.S. CFC, CJAs.
1315 WINDRIM AVE
PHILADELPHIA, PA 19141-2710
Phone number: 215-456-2691
Copy
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