Individual
COLLEEN CHAMPLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 CLIFF ST, BEVERLY, MA 01915-4805
(978) 473-0135
Mailing address
9 CLIFF ST, BEVERLY, MA 01915-4805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110228
MA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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