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Individual
COLLEEN MCCARTHY
Active
Individual
COLLEEN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CLT
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003946
GA
133VN1004X
Pediatric Nutrition Registered Dietitian
LD003946
GA
133VN1006X
Metabolic Nutrition Registered Dietitian
LD003946
GA
Other
Enumeration date
09/11/2012
Last updated
02/19/2013
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