Individual
BARBARA B COLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-ACP
Contact information
Practice address
308 S PALESTINE ST, ATHENS, TX 75751-2510
(903) 675-8883
Mailing address
165 SHORELINE DR, MALAKOFF, TX 75148-4754
(903) 675-8883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638595-01
—
TX
Enumeration date
07/21/2006
Last updated
06/04/2008
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