Individual
SHANNON BOLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 475-4449
Mailing address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 475-4449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1901881-TRNE
OH
Other
Enumeration date
07/08/2019
Last updated
08/12/2019
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