Individual
COLETTE ANN DACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 S 3RD AVE, AVONDALE, AZ 85323-2264
(623) 772-5195
Mailing address
3032 N 201ST GLN, BUCKEYE, AZ 85396-8442
(636) 357-4759
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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