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Individual

MRS. CAROL A. COLBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
196 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 439-0033
(518) 439-7167
Mailing address
402 UNION ST, SCHENECTADY, NY 12305-1119
(518) 374-7555
(518) 374-6898

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
29
CO
104100000X
Social Worker
7196
SC
104100000X
Social Worker
Primary
R051293
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02198438
NY
Enumeration date
08/17/2005
Last updated
11/08/2007
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