Individual
IDAMARIE COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
927 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1020
(833) 659-4357
Mailing address
3603 WASHINGTON BLVD APT 101, INDIANAPOLIS, IN 46205-3572
(317) 643-0288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012643A
IN
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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