Deborah Lou Bolton MS, LICSW

NPI 1013939818 - Social Worker - 1041C0700X

NPI Details
NPI 1013939818
Gender Female
Enumeration Date 07/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 SILVER LAKE RD NW
SUITE 110
SAINT PAUL MN, 55112-1786, US
Phone (651) 628-9253
Fax (651) 631-8799
Business Location
1900 SILVER LAKE RD NW
SUITE 110
SAINT PAUL MN, 55112-1786, US
Phone (651) 628-9253
Fax (651) 631-8799
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 11867
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According to our database, Deborah Lou Bolton MS, LICSW NPI is 1013939818, taxonomy code is 1041C0700X and license number is 11867, license state is located at Minnesota. Deborah Lou Bolton MS, LICSW physically located at 1900 Silver Lake Rd Nw, Saint Paul MN, 55112-1786. NPI Number Deborah Lou Bolton MS, LICSW has the Individual type.

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1013939818 NPI number is provided on an as is basis without warranty of any kind. 1013939818 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah Lou Bolton MS, LICSW are for informational purposes only.