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Individual
COLLEEN M CULLEN
Active
Individual
COLLEEN M CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15729
SC
104100000X
Social Worker
Primary
18796
SC
1041C0700X
Clinical Social Worker
Primary
18796
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
11/22/2024
Last updated
09/24/2026
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