Individual
MS. KATHERINE BOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5020 TAMIAMI TRL N STE 202, NAPLES, FL 34103-2838
(239) 682-3251
Mailing address
2263 COACH HOUSE LN, NAPLES, FL 34105-2712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW12796
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XJBH36989516
BLUECROSS BLUESHIELD
FL
Enumeration date
08/01/2018
Last updated
08/01/2018
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