Individual
ELIZABETH ANN BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 E FLORAL AVE, PORTLAND, IN 47371-2914
(260) 726-9341
Mailing address
414 E FLORAL AVE, PORTLAND, IN 47371-2914
(260) 726-9341
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1566098
IN
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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