Individual
MS. HARLIE BROOKE PELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 NEW CONCORD RD, COLUMBIA, KY 42728-8251
(270) 634-4338
Mailing address
570 NEW CONCORD RD, COLUMBIA, KY 42728-8251
(270) 634-4338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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