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LY COLLINS LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1700136298

Individual Registrant:
 LY  COLLINS LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
929 NE 120TH STREET  BISCAYNE PARK, FL 33161 US
Tel: 786-390-2108  Fax: 305-243-4080

Contact information for business:
929 NE 120TH STREET  BISCAYNE PARK, FL 33161 US
Tel: 786-390-2108  Fax: 305-243-4080

Registration Information:
NPI: 1700136298
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
FLSW3834

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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