Individual
MS. KATHRYN JEAN COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
600 JACKSON ST, ROANOKE RAPIDS, NC 27870-7161
(252) 537-6164
(252) 537-9199
Mailing address
PO BOX 2161, ROANOKE RAPIDS, NC 27870-7161
(252) 537-6164
(252) 537-9199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C001315
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003096
—
NC
Enumeration date
04/14/2006
Last updated
07/08/2007
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