Individual
MARY C VIGNERI BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1229 C AVENUE EAST, OSKALOOSA, IA 52577
(641) 672-3159
(641) 672-3259
Mailing address
1229 C AVENUE EAST, OSKALOOSA, IA 52577
(641) 672-3159
(641) 672-3259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00943
IA
Other
Enumeration date
10/25/2006
Last updated
01/15/2008
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