Individual
LAUREN BOEHNLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
(336) 766-9158
Mailing address
3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9417
NC
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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