Individual
COLLEEN NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 HOPELAND ST BLDG B, DAYTON, OH 45417-3420
(937) 535-8123
Mailing address
257 HOPELAND ST BLDG B, DAYTON, OH 45417-3420
(937) 535-8123
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003649
OH
Other
Enumeration date
08/10/2022
Last updated
05/11/2023
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