Individual
MRS. JACQUELYN PAIGE BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BEASLEY ST, SUITE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Mailing address
3900 CROSBY DR, #821, LEXINGTON, KY 40515-1811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MO7603885
KY
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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