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Individual
ZOE V. COLGAN
Active
Individual
ZOE V. COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D. LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076727
NY
1041C0700X
Clinical Social Worker
Primary
079786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00618162
EMPLOYER MEDICAID PROVIDE
NY
01
—
1376743419
TRICARE
NY
Enumeration date
07/18/2007
Last updated
05/29/2018
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