Individual
KATE BOELKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 LIBERTY DR, LANCASTER, OH 43130-8045
(740) 653-3193
Mailing address
955 LIBERTY DR, LANCASTER, OH 43130-8045
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1275972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH1275972
OHIO DEPARTMENT OF EDUCATION LICENSURE
OH
Enumeration date
09/07/2018
Last updated
09/07/2018
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