Individual
JEANNE BOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.L.P.
Contact information
Practice address
16 N MONROE ST, ROCKFORD, MI 49341-1228
(616) 866-4830
Mailing address
16 N MONROE ST, ROCKFORD, MI 49341-1228
(616) 866-4830
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008183
MI
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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