Individual
IRENE MONICA COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
700 NE 87TH AVE STE 220, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1767
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60419650
WA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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