Individual
MR. CORY DE'ANDRE BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
126 ASHBY STREET, CALERA, AL 35040-5628
(205) 545-4469
Mailing address
126 ASHBY STREET, CALERA, AL 35040-5628
(205) 545-4469
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2483A
AL
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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