Individual
MS. DOROTHY REE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128307-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700
SOCIAL WORKER CLINICAL.
WI
Enumeration date
02/19/2013
Last updated
02/19/2013
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