Most Relevant Information
Provider Data
NPI Number: | 1003469438 |
Provider Name: | KARLEE MICHELE BODINE |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 22007223A |
Most Important Dates
Enumeration Date: | 07/24/2019 |
Last Updated: | 05/25/2022 |
Provider Practice Location
902 PROVIDENT DR STE C
WARSAW
IN
465803379
Practice Location Phone/Fax
Phone: | 5743762316 |
Fax: |
Provider Mailing Location
12851 MAGNOLIA CREEK TRL
FORT WAYNE
IN
468145503
Provider Mailing Phone/Fax
Phone: | 2602130286 |
Fax: |