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Individual

CHRISTINA BOCKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
Mailing address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012294
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780630525
AGENCY NPI
IN
Enumeration date
07/15/2016
Last updated
01/24/2024
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