Individual
FAWN A COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CAVALIER BLVD STE 110, FLORENCE, KY 41042-3952
(859) 594-4510
Mailing address
75 CAVALIER BLVD STE 110, FLORENCE, KY 41042-3952
(859) 594-4510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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