Individual
BRANDI BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 E 5TH ST, WAVERLY, OH 45690-1230
(513) 560-2375
Mailing address
412 E 5TH ST, WAVERLY, OH 45690-1230
(513) 560-2375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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