Individual
NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 CAMPUS DR N, WATERFORD, MI 48328-2754
(248) 475-6300
Mailing address
2075 ELMHURST CIR APT 103, ORION, MI 48359-1295
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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