Individual
TABITHA ANGEL COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 MEADOW GLEN PKWY, FAIRBURN, GA 30213-4237
(408) 837-0116
Mailing address
CLIPBOARD AGENCY, 340 SOUTH LEMON AVE, WALNUT, CA 91789
(408) 837-0116
(424) 402-5049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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