Individual
KATIE WOLLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 W 14TH AVE, HOLDREGE, NE 68949-1213
(308) 995-6585
Mailing address
412 W 14TH AVE, HOLDREGE, NE 68949-1213
(308) 995-6585
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2019009394
NE
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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