Individual
BARBARA COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7113 S 68TH AVE, LAVEEN, AZ 85339-5067
(602) 697-8807
(602) 455-4624
Mailing address
8537 W WILSHIRE DR, PHOENIX, AZ 85037-3710
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1140501
AZ
385HR2055X
Child Mental Illness Respite Care
1140501
AZ
Other
Enumeration date
07/28/2009
Last updated
03/19/2020
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