Ricardo Durel Bolton, LCSW
NPI #1063065365 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1063065365
- Entity Type
- Individual
- Name
- Ricardo Durel Bolton, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 17, 2019
- Last Updated
- Jul 17, 2019
Practice Location
- Address
- 400 VETERANS AVE
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39531-2410
- Phone
- (228) 523-4783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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