Individual
RICHARD BOLLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCSW
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-3581
(913) 588-8529
Mailing address
7405 RENNER RD, KU MEDWEST, SHAWNEE, KS 66217-9414
(913) 588-3581
(913) 588-8529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0854
KS
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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