NPI 1548539059

Timeco Bolden, LMSW

Practitioner Case Manager/Care Coordinator Lowell, MI

Practice location

Address: 11652 W Grand River Ave, Lowell, MI 49331-8465
Phone: (616) 897-5900

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 6801089093 (MI)

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Registry record

NPI: 1548539059
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2011
Record last updated: 29 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.