Individual
KAYLEE MAUDE BOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
555 S PERRYVILLE RD STE 222, ROCKFORD, IL 61108-2527
(815) 331-1023
Mailing address
2008 CUMBERLAND ST, ROCKFORD, IL 61103-4766
(773) 733-3016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
11/08/2024
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