Individual
MISS AVA BOLLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 EDWARDS ST, SOUTHBRIDGE, MA 01550-1937
(508) 205-9272
Mailing address
52 HOPKINS RD, WOODSTOCK, CT 06281-2724
(860) 455-8301
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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