Individual
THOMAS PETER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-4692
Mailing address
1155 LISBON ST, LEWISTON, ME 04240-5025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC18143
ME
1041C0700X
Clinical Social Worker
MC16784
—
Other
Enumeration date
02/16/2018
Last updated
08/19/2019
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