KEVIN M BOLAND

LA CROSSE, WI
NPI1104820935
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: WI  1127)
Enumeration Date2005-06-09
Last Update Date2007-07-08
Business Address
KEVIN M BOLAND PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
KEVIN M BOLAND PHD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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