Individual
LAEQUAH ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 ROYAL HEIGHTS RD, BELLEVILLE, IL 62226-5457
(618) 731-5448
Mailing address
10 CARLYLE E APT C, BELLEVILLE, IL 62221-4530
(618) 731-5448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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