Individual
AMY C COOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24771 US HIGHWAY 19 N, CLEARWATER, FL 33763-4040
(727) 643-7695
Mailing address
24771 US HIGHWAY 19 N, CLEARWATER, FL 33763-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
05/03/2024
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