Individual
MRS. KINITA BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
29200 NORTHWESTERN HWY STE 110, SOUTHFIELD, MI 48034-1055
(248) 483-7804
Mailing address
29200 NORTHWESTERN HWY STE 110, SOUTHFIELD, MI 48034-1055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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