Individual
COLLETTE MICHELLE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(269) 983-5833
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
02/05/2020
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