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LAURA B BOLEY LMSW

School >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093330664

Individual Registrant:
 LAURA B BOLEY LMSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
208 QUAIL RIDGE RD  ELMORE, AL 36025-1006 US
Tel: 334-290-1807  Fax: --

Contact information for business:
2701 WATERFORD PL  BIRMINGHAM, AL 35244-1048 US
Tel: 256-622-2300  Fax: --

Registration Information:
NPI: 1093330664
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041S0200XBehavioral Health & Social Service Providers
Social Worker
School
AL4955G

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1306199682AL05




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