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TRAVIS BOLES

Individual Provider (NPI-1) Active

Peer Specialist

Provider Information

NPI Number
1477361780
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
78 W WASHINGTON ST, NELSONVILLE, OH, 457641135
Phone
(513) 470-7056

Specialties & Taxonomies

Peer Specialist License: KY #1187506
Peer Specialist Primary License: OH #APS.005878

All Addresses

MAILING

95 CIRCLE DR APT 8

FLORENCE, KY, 410422432

(859) 380-7102

LOCATION

78 W WASHINGTON ST

NELSONVILLE, OH, 457641135

(513) 470-7056