Individual
FRANCES COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 WAVE AVE, MEDFORD, NY 11763-1772
(631) 687-8165
Mailing address
111 SHINNECOCK AVENUE, MASTIC, NY 11950-2815
(617) 905-3659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
213033
MA
1041S0200X
School Social Worker
Primary
213033
MA
Other
Enumeration date
11/13/2006
Last updated
05/03/2011
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