Individual
MRS. COLLEEN COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MAIN ST STE B, GOSHEN, NY 10924-1636
(845) 458-8661
Mailing address
107 RIDGE RD, WESTTOWN, NY 10998-2621
(845) 649-6466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
130313383
NY
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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