Individual
LAURA BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13114 DETROIT AVE, LAKEWOOD, OH 44107-2840
(216) 529-4241
Mailing address
13114 DETROIT AVE, LAKEWOOD, OH 44107-2840
(216) 529-4241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20201484-SP
OH
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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