Individual
MRS. ELLEN MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
97 CROSS STREET, WESTERLY, RI 02891
(401) 596-0906
(401) 596-0699
Mailing address
36 WICKLOW ROAD, WESTERLY, RI 02891
(401) 596-0906
(401) 596-0699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01603
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EM54423
—
RI
Enumeration date
07/07/2006
Last updated
03/05/2008
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