ROGER BOLEYN

JACKSON, TN
NPI1295857753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2007-04-04
Last Update Date2009-08-06
Business Address
ROGER BOLEYN CASE MANAGER
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-935-8200
Mailing Address
ROGER BOLEYN CASE MANAGER
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759