Individual
MS. ANGEL COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 SHORE RD APT 712, LONG BEACH, NY 11561-4670
(516) 557-6977
Mailing address
630 SHORE RD APT 712, LONG BEACH, NY 11561-4670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
084022-1
NY
Other
Enumeration date
09/26/2012
Last updated
10/19/2020
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