Individual
LAURA B BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
208 QUAIL RIDGE RD, ELMORE, AL 36025-1006
(334) 290-1807
Mailing address
2701 WATERFORD PL, BIRMINGHAM, AL 35244-1048
(256) 622-2300
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
4955G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306199682
—
AL
Enumeration date
06/10/2020
Last updated
06/10/2020
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