Individual
KATHRYN DOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 MANZANITA AVE, ROSEVILLE, CA 95678-1217
(916) 770-9988
Mailing address
619 MANZANITA AVE, ROSEVILLE, CA 95678-1217
(916) 770-9988
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31317
CA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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