James Randall Bolton, LISW

NPI #1053452243 in Davenport, Iowa

Provider Information

NPI Number: 1053452243
Entity Type: Individual
Name: James Randall Bolton, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Feb 9, 2007
Last Updated: Jun 20, 2008

Practice Location

Address: 1441 W CENTRAL PARK AVE
City: Davenport
State: Iowa
ZIP Code: 52804-1707
Phone: (563) 888-6275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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