Individual
COLIN O MCENTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
314 MOORE BLDG, UNIVERSITY PARK, PA 16802
(814) 865-2191
Mailing address
405 N 5TH ST, PHILIPSBURG, PA 16866-2324
(804) 878-4788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009962
VA
1041C0700X
Clinical Social Worker
Primary
CW024119
PA
Other
Enumeration date
03/25/2013
Last updated
01/04/2024
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