Individual
PUMUKQIEN E.M. COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC,LSWA,NCC-CCMHC
Contact information
Practice address
483 GREAT NECK RD S BLDG A, MASHPEE, MA 02649-3707
(508) 477-6967
Mailing address
483 GREAT NECK RD S BLDG A, MASHPEE, MA 02649-3707
(508) 477-6967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6295
MA
104100000X
Social Worker
410725
MA
Other
Enumeration date
03/20/2009
Last updated
05/01/2015
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