Individual
CHARLENE COLLIBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE HOPPIN ST., CORO WEST, SUITE 204, PROVIDENCE, RI 02903
(203) 435-7715
Mailing address
ONE HOPPIN ST., CORO WEST, SUITE 204, PROVIDENCE, RI 02903
(203) 435-7715
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS01728
RI
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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