Individual
PHILIP E. COLLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
164 FALMOUTH ST, PORTLAND, ME 04102-2810
(207) 807-4444
Mailing address
164 FALMOUTH ST, PORTLAND, ME 04102-2810
(207) 807-4444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5096
ME
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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