Individual
HEATHER RENEE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
209 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2100
Mailing address
209 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945168
WV
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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