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Individual
COLLEEN KOLB
Active
Individual
COLLEEN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1023-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710323365
—
WI
Enumeration date
05/21/2013
Last updated
03/24/2017
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