Individual
TIPTON BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 E MATTHEWS AVE, JONESBORO, AR 72401-3050
(870) 919-0274
Mailing address
906 E MATTHEWS AVE, JONESBORO, AR 72401-3050
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
10090588
AR
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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