Individual
MR. CHARLES ANTHONY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 S MOUNTAIN RD, KNOXVILLE, MD 21758-9610
(240) 529-5569
Mailing address
3611 S MOUNTAIN RD, KNOXVILLE, MD 21758-9610
(240) 529-5569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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