Individual
MRS. CARLY JANE BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 KIRKLAND ST, UNION, MS 39365-3205
(601) 774-8233
Mailing address
11840 ROAD 505, UNION, MS 39365-7324
(601) 562-0089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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