Individual
LAURA KAY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4522 BALTIMORE AVE, PHILADELPHIA, PA 19143-3705
(610) 662-6343
Mailing address
3624 MARKET ST STE 1W, PHILADELPHIA, PA 19104-2615
(215) 898-7021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131316
PA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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