Individual
SUSAN ELIZABETH COLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 PAULY DR, ENGLEWOOD, OH 45315-9650
(937) 232-5174
Mailing address
305 PAULY DR, ENGLEWOOD, OH 45315-9650
(937) 232-5174
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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