LISA BOLMAN

GULFPORT, MS
NPI1457903031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MS  4143)
Enumeration Date2019-07-12
Last Update Date2019-07-12
Business Address
LISA BOLMAN PCMHT
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Mailing Address
LISA BOLMAN PCMHT
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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