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Organization

JEN'S EARLY INTERVENTION

Active
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Organization

JEN'S EARLY INTERVENTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LYNN BOLTON (OWNER)
(859) 801-9716
Entity
Organization

Contact information

Practice address
2328 1/2 DIXIE HWY, FT MITCHELL, KY 41017-2934
(859) 801-9716
Mailing address
2328 1/2 DIXIE HWY, FT MITCHELL, KY 41017-2934
(859) 801-9716

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
10/02/2025
Last updated
10/02/2025
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