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Individual

MARK L. COLLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.S.W.

Contact information

Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Mailing address
10 CATHERINE DR, WILLIAMSPORT, PA 17701-1292
(570) 322-7873
(570) 322-8026

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW124379
PA

Other

Enumeration date
06/08/2006
Last updated
07/13/2026
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