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Individual

MS. CARRIE A COLLIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
11 RIVER ST, WELLESLEY, MA 02481
(781) 431-1177
(781) 431-1181
Mailing address
11 RIVER ST, WELLESLEY, MA 02481
(781) 431-1177
(781) 431-1181

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1122118
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P23753
MA
Enumeration date
03/28/2006
Last updated
07/08/2007
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