Individual
AISLIN BOLER JAYROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1120 E MAIN ST STE 4, PHILADELPHIA, MS 39350-2300
(601) 416-1860
Mailing address
1120 E MAIN ST STE 4, PHILADELPHIA, MS 39350-2300
(601) 416-1860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2374
MS
Other
Enumeration date
12/09/2019
Last updated
04/19/2022
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