Individual
TERRY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 249-4228
(601) 249-4244
Mailing address
4228 HWY 550 NW, UNION CHURCH, MS 39668
(601) 249-4228
(601) 249-4244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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