Individual
MRS. REBA JO BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
124 WEST NASHVILLE STREET, PEMBROKE, KY 42266
(270) 475-4227
(270) 475-4173
Mailing address
2701 KENWOOD DR, HOPKINSVILLE, KY 42240-3719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY2611
KY
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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