Individual
JAIME L BOLLMANN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
311 ELM ST, WOODRUFF, WI 54568-9149
(715) 356-8540
Mailing address
311 ELM ST, P.O. BOX 470, WOODRUFF, WI 54568-9149
(715) 356-8540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15250
WI
104100000X
Social Worker
Primary
7365
WI
1041C0700X
Clinical Social Worker
126447-121
WI
Other
Enumeration date
10/12/2006
Last updated
09/26/2018
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