Individual
SARAH GLENN BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 HIGHWAY 51 S, BATESVILLE, MS 38606-2542
(662) 292-8060
Mailing address
191 HIGHWAY 51 S, BATESVILLE, MS 38606-2542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14159083
MS
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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