Individual
KAE COLLURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
77 WARREN ST BLDG 9, BRIGHTON, MA 02135-3601
(617) 254-0964
Mailing address
79 PRINCETON ST, MEDFORD, MA 02155-5944
(813) 922-1783
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/06/2024
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