Individual
SARAH COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4927 MARGARET AVE, SPRINGFIELD, IL 62711-9239
(217) 220-1995
Mailing address
4927 MARGARET AVE, SPRINGFIELD, IL 62711-9239
(217) 220-1995
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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