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LY COLLINS LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1700136298
Individual Registrant: LY COLLINS LCSW
Gender: F
Sole Proprietor
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
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
Tel: 786-390-2108 Fax: 305-243-4080
Registration Information:
NPI: 1700136298
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | FL | SW3834 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
