Individual
PHILIP A BOLLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 650-1877
Mailing address
PO BOX 424, TOWANDA, KS 67144-0424
(707) 631-2799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14136
KS
Other
Enumeration date
07/01/2025
Last updated
07/07/2025
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