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Individual
TIMOTHY R COLLINS
Active
Individual
TIMOTHY R COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I.2103188
OH
104100000X
Social Worker
S 1450685
OH
1041C0700X
Clinical Social Worker
Primary
I.2103188
OH
Other
Enumeration date
09/16/2014
Last updated
06/21/2024
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