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Individual

DR. YVETTE MICHELLE BOLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4250 N MARINE DR STE 230, CHICAGO, IL 60613-6209
(872) 529-1991
Mailing address
4250 N MARINE DR STE 230, CHICAGO, IL 60613-6209
(872) 529-1991

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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