Individual
HAYLEY BOLEWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
Mailing address
60 E LAKE RD, HATTIESBURG, MS 39402-9532
(601) 270-0600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3543
MS
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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