Individual
JAMIE LIL COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 KELLS LN, RICHWOOD, OH 43344-1286
(804) 840-4462
Mailing address
603 KELLS LN, RICHWOOD, OH 43344-1286
(804) 840-4462
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8002691
OH
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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