Individual
MS. DEBRA ELIZABETH COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2100
(508) 586-5117
Mailing address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2100
(508) 586-5117
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
164072
MA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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