| NPI | 1508514894 |
|---|---|
| Other Name | KALEB POLLUM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026984) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.106832) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-04-04 |