Individual
COLLETTE DIGNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(631) 920-8300
Mailing address
84 N COUNTRY RD, APT 10C, PORT JEFFERSON, NY 11777-2100
(631) 828-5001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071601
NY
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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