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Individual

HAYLEY F BOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2466 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-8967
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11275-C
AR
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
310774719
AR
Enumeration date
05/29/2018
Last updated
11/28/2023
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