Individual
CARLEE ROSETTA SHOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BEN AVE, MILL HALL, PA 17751-1214
(570) 893-4900
Mailing address
51 EISENHOWER CROSS RD, MILL HALL, PA 17751-9320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008565
PA
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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