Individual
LISA MARIE BOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
544 E WOODRUFF AVE, TOLEDO, OH 43624-1342
(419) 693-0631
(419) 936-7606
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0003822
OH
Other
Enumeration date
10/19/2005
Last updated
10/16/2007
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