Individual
JENNIFER BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 288-7606
Mailing address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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