Individual
NIKOLE A BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 W PARK CT, STONE MOUNTAIN, GA 30087-3500
(470) 234-7550
Mailing address
2155 W PARK CT STE D, STONE MOUNTAIN, GA 30087-3511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011391
GA
Other
Enumeration date
07/11/2022
Last updated
07/18/2022
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