Individual
COLLEEN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
171 W ALMA AVE, SAN JOSE, CA 95110-3632
(508) 981-0555
Mailing address
171 W ALMA AVE, SAN JOSE, CA 95110-3632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223284
MA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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