Individual
COLE JEAN ENGSTROM-BOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 14TH AVE E, SARTELL, MN 56377-4500
(320) 774-3436
(320) 774-3440
Mailing address
205 14TH AVE E, SARTELL, MN 56377-4500
(320) 774-3436
(320) 774-3440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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