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Individual

COLLEEN MARIE COLE MATTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 643-0772
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 643-0772

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
60566292
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/12/2012
Last updated
11/12/2024
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