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Individual

MS. DAWN DENISE COLLYMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13851 231ST ST, LAURELTON, NY 11413-2834
(646) 483-9041
Mailing address
13851 231ST ST, LAURELTON, NY 11413-2834
(646) 483-9041

Taxonomy

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

Other

Enumeration date
01/14/2013
Last updated
01/14/2013
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