Individual
KATHLEEN PHYLLIS COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1407 24TH AVE S STE 217, GRAND FORKS, ND 58201-6761
(701) 738-0888
Mailing address
20531 US HIGHWAY 75 SW, CROOKSTON, MN 56716-9045
(218) 281-3351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16080
MN
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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