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Individual

MARNY SCALARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919
(719) 203-6903
Mailing address
2025 S CORONA AVE, COLORADO SPRINGS, CO 80905-2716
(719) 432-8308

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30841

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062980997
DRIVERS LISCENSE
CO
Enumeration date
02/22/2018
Last updated
07/19/2018
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