Individual
SUSAN BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 PATRIOT DR, JUNCTION CITY, KS 66441-1980
(785) 717-8934
Mailing address
1622 PATRIOT DR, JUNCTION CITY, KS 66441-1980
(785) 717-8934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/09/2025
Last updated
06/11/2025
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