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Individual

MISS COLBIE ELYSE FOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1028 E WORTHY ST, GONZALES, LA 70737-4367
(504) 399-9851
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
(469) 694-1754
(818) 758-8015

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
02/03/2022
Last updated
02/03/2022
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