Individual
MS. CLEO SHARON BOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1200 HIGHWAY 25 N, SUITE 107, BUFFALO, MN 55313-2930
(763) 684-0480
Mailing address
1200 HIGHWAY 25 N, SUITE 107, BUFFALO, MN 55313-2930
(763) 684-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0853
MN
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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