Individual
MS. ANNA NICOLE DOCKERY BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(800) 323-3123
Mailing address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(800) 323-3123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10796
NC
Other
Enumeration date
06/27/2013
Last updated
06/13/2014
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