Individual
MARY A BOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
11191 HIGHWAY 9 N, MAMMOTH SPRING, AR 72554-7097
(870) 895-3977
(870) 895-3978
Mailing address
11191 HIGHWAY 9 N, MAMMOTH SPRING, AR 72554-7097
(870) 895-3977
(870) 895-3978
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001014488
MO
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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