Individual
MRS. DYLAN SUZANNE CARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ECSE
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
313544
CO
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/12/2011
Last updated
02/01/2021
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