Individual
COLEEN A LILLIE- SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
205 W 27TH ST, NORTHAMPTON, PA 18067-1121
(802) 355-9772
Mailing address
205 W 27TH ST, NORTHAMPTON, PA 18067-1121
(802) 355-9772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
018811
PA
Other
Enumeration date
10/12/2006
Last updated
11/19/2024
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