Individual
MISHEMA BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Mailing address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6689
LA
Other
Enumeration date
11/06/2016
Last updated
10/01/2024
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