Individual
MRS. MARQUITA MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7280 N OSAGE CT UNIT B, GLENDALE, AZ 85307-5019
(623) 760-7567
Mailing address
7280 N OSAGE CT UNIT B, GLENDALE, AZ 85307-5019
(623) 760-7567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
1041C0700X
Clinical Social Worker
Primary
LCSW-18188
AZ
Other
Enumeration date
08/13/2012
Last updated
07/22/2022
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