Individual
DANTE SEBASTIAN COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(866) 398-0945
Mailing address
604 HWY 80 WEST STE. R OFFICE 2, CLINTON, MS 39056
(866) 398-0945
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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