Individual
DAKOTA ASTON COLTHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
198 E BOWMAN CIR, LA FOLLETTE, TN 37766-8006
(423) 437-1340
Mailing address
198 E BOWMAN CIR, LA FOLLETTE, TN 37766-8006
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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