Individual
SONYA LESLIE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 BOYLSTON ST, BOSTON, MA 02116-4702
(617) 457-1050
Mailing address
39 BOYLSTON ST, BOSTON, MA 02116-4702
(617) 457-1050
(617) 542-4705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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