Individual
CAROL ANN COLOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 KEVIN LN, BRODHEADSVILLE, PA 18322-7060
(570) 992-6720
Mailing address
212 KEVIN LN, BRODHEADSVILLE, PA 18322-7060
(570) 992-6720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004577
PA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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