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Individual

MR. MICHAEL DAVID COLLIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5201 RAYMOND STREET, ORLANDO, FL 32803-3859
(407) 629-1599
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW7373
FL

Other

Enumeration date
06/01/2006
Last updated
07/11/2007
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