Individual
BRITTANY R COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 W EXECUTIVE DR STE B, MEQUON, WI 53092-4499
(888) 754-0398
Mailing address
4862 LOIS LN, WEST BEND, WI 53095-9133
(920) 379-3240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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