Individual
LAZARA CARIDAD COLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5932 NE GLISAN ST, PORTLAND, OR 97213-3754
(210) 419-7045
Mailing address
12157 SE 106TH AVE, HAPPY VALLEY, OR 97086-7913
(210) 419-7045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 11900
FL
Other
Enumeration date
09/07/2010
Last updated
09/10/2020
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