Individual
NANCY LYNN COLATTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISAC
Contact information
Practice address
18001 N 79TH AVE, GLENDALE, AZ 85308-8388
(623) 377-1128
(623) 572-3172
Mailing address
7177 W QUAIL AVE, GLENDALE, AZ 85308-9570
(623) 376-0367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11454
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-11229
AZ
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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