Individual
KELLY AZAR COLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
694 OAK BEND LN, LEWISVILLE, NC 27023-8361
(336) 971-7728
Mailing address
694 OAK BEND LN, LEWISVILLE, NC 27023-8361
(336) 971-7728
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2597
NC
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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