Individual
MELINDA BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 S DIXIE BLVD, RADCLIFF, KY 40160-1289
(859) 436-8411
Mailing address
2131 E ELM ST, NEW ALBANY, IN 47150-1532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
284834
KY
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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