Individual
CHARLOTTE A COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
(417) 257-5875
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-6762
(172) 575-8754
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2015044205
MO
104100000X
Social Worker
2018028131
MO
1041C0700X
Clinical Social Worker
Primary
2018028131
MO
Other
Enumeration date
01/21/2016
Last updated
09/20/2023
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