Individual
CHANTELLE COLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 IRISH HILLS DR APT 3C, SOUTH BEND, IN 46614-6547
(574) 904-4299
Mailing address
3903 IRISH HILLS DR APT 3C, SOUTH BEND, IN 46614-6547
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012535A
IN
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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