Individual
MRS. TIFFANY BROOKE BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
210 W 17TH ST, HOPKINSVILLE, KY 42240-1912
(270) 889-2132
Mailing address
210 W 17TH ST, HOPKINSVILLE, KY 42240-1912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
KY-0675
KY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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