Individual
COLETTE KAITLYN COLLACOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Mailing address
37 SCRIPTER CT, OXFORD, MI 48371-4787
(586) 596-6094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801110920
—
1041C0700X
Clinical Social Worker
—
MI
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
03/01/2023
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