Individual
KATHERINE BOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SAINT LOUIS ST STE 1, EDWARDSVILLE, IL 62025-1979
(844) 244-1818
Mailing address
108 E 4TH NORTH ST, MOUNT OLIVE, IL 62069-1328
(217) 556-0933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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