Tegan Chanel Bolden
Tegan Chanel Bolden is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
7305 S Michigan Ave # 2Chicago, IL 60619-1618
Phone: (773) 494-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149022733 (IL) |
|---|
Record details
| NPI number | 1538756804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 21, 2020 |
| Last updated in NPPES | December 21, 2020 |
| Certification date | December 21, 2020 |
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