Individual
COLLEEN M SPANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 SARAH ST, MISHAWAKA, IN 46545-6552
(574) 387-3906
Mailing address
1016 SARAH ST, MISHAWAKA, IN 46545-6552
(574) 387-3906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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