Individual
JENA LEE BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2384 E 79TH AVE, MERRILLVILLE, IN 46410-5740
(708) 334-4108
Mailing address
17760 STATELINE, LANSING, IL 60438
(708) 334-4108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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