Latairricka07/11/198 Bolden
Latairricka07/11/198 Bolden is a Case Manager/Care Coordinator in West Memphis, Arkansas. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
103 S Avalon StWest Memphis, AR 72301-4165
Phone: (870) 732-1878
Fax: (870) 702-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1508541004 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 21, 2023 |
| Last updated in NPPES | June 21, 2023 |
| Certification date | June 21, 2023 |
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