Individual
ASHLEY COLEBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 N FAIRWOOD CT, WAUWATOSA, WI 53222-4020
(414) 690-0067
Mailing address
3020 N FAIRWOOD CT, WAUWATOSA, WI 53222-4020
(414) 690-0067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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