Bolden, Mari Richardson

Bolden, Mari Richardson is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bolden, Mari Richardson can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 1884 South Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 1884 South Carolina

Profile Details

NPI number 1093917452
LBN Legal business name Bolden, Mari Richardson
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Nov 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093917452 NPPES
South Carolina MEDICAID 1760596480

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