Individual
MS. COLLEEN A DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 W 8TH ST, ASHTABULA, OH 44004-3318
(440) 296-2550
Mailing address
1212 W 8TH ST, ASHTABULA, OH 44004-3318
(440) 296-2550
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
294268
OH
Other
Enumeration date
04/06/2014
Last updated
04/06/2014
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