Individual
RANDALL L COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-2377
(575) 894-7589
(575) 894-7584
Mailing address
2551 KARSTEN CT SE, ALBUQUERQUE, NM 87102-5083
(505) 515-2527
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-07466
NM
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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