Individual
MS. LENORE LOUISE BOLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10838 KINGS RD STE 13, MYRTLE BEACH, SC 29572-6070
(843) 685-0838
Mailing address
2044 N BERWICK DR, MYRTLE BEACH, SC 29575-5801
(843) 685-0838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6179
SC
Other
Enumeration date
06/25/2017
Last updated
06/25/2017
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