Individual
MS. CLARISSA COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3804 AVENUE B, AUSTIN, TX 78751-4906
(512) 968-2591
Mailing address
2504 E 2ND ST, AUSTIN, TX 78702-4708
(512) 968-2591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53506
TX
Other
Enumeration date
05/25/2010
Last updated
11/01/2011
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