Individual
KATELYN MAE HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 TARA PLZ, PAPILLION, NE 68046-2043
(402) 512-4296
Mailing address
107 MEADOW LN, NORFOLK, NE 68701-6937
(651) 247-5356
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
03/01/2021
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