Individual
LYDIA MAEVE BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 COLEMAN BLVD, MOUNT PLEASANT, SC 29464-6002
(774) 200-9983
Mailing address
725 COLEMAN BLVD, MOUNT PLEASANT, SC 29464-6002
(774) 200-9983
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
SC
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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