Individual
MS. KAWANA (KAY) COLLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 PRINCETON RD STE 2, JOHNSON CITY, TN 37601-2040
(423) 741-5644
(423) 714-3116
Mailing address
403 PRINCETON RD STE 2, JOHNSON CITY, TN 37601-2040
(423) 741-5644
(423) 714-3116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8400
TN
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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