Individual
MS. LUCIANNE ELIETTE COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
599 CANAL ST # 3, LAWRENCE, MA 01840-1244
(978) 397-2185
Mailing address
52 BEACON ST, LAWRENCE, MA 01843-2024
(978) 397-2185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
220721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063957637
—
MA
Enumeration date
01/05/2017
Last updated
02/11/2019
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