Individual
COLEEN MARIE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29205 GREEN DR, WILLOWICK, OH 44095-4707
(440) 679-1282
Mailing address
29205 GREEN DR, WILLOWICK, OH 44095-4707
(440) 679-1282
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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