Provider Information for 1487206470
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LASHAUNN BOLD LCSW
Sex: Female
NPI: 1487206470
Last Updated: 2019-07-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1487206470 | ||||||||
| Enumeration Date | 2019-07-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1021 LYNDA LN ARLINGTON, TX 76013-3826 United States Phone: 817-271-8285 | Fax: | ||||||||
| Primary Practice Address | 1615 W ABRAM ST STE H ARLINGTON, TX 76013-1788 United States Phone: 817-271-8285 | Fax: | ||||||||
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