Individual
DANIELLE ALINE COLLISON
Active
Individual
DANIELLE ALINE COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
18076
MD
1041C0700X
Clinical Social Worker
Primary
18076
MD
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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