Individual
MRS. SHERRY RENEE BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.E.
Contact information
Practice address
1853 BEWLEYTOWN RD, FOUNTAIN RUN, KY 42133-8573
(270) 774-1647
(270) 434-3433
Mailing address
1853 BEWLEYTOWN RD, FOUNTAIN RUN, KY 42133-8573
(270) 774-1647
(270) 434-3433
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
06/02/2008
Last updated
11/15/2014
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