Individual
MR. FREDERICK DAVID BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
741 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2643
(573) 317-9100
Mailing address
741 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2643
(573) 317-9100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014033260
MO
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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