| Nicole Collins Llc | |
|
64 Iroquois Rd Apt 1 Stamford CT 06902-8706 | |
| (475) 205-1021 | |
| Not Available |
| Full Name | Nicole Collins Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 64 Iroquois Rd Apt 1, Stamford, Connecticut |
| Authorized Official Name and Position | Nicole Collins (OWNER) |
| Authorized Official Contact | 4752051021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Collins Llc 64 Iroquois Rd Apt 1 Stamford CT 06902-8706 Ph: (475) 205-1021 | Nicole Collins Llc 64 Iroquois Rd Apt 1 Stamford CT 06902-8706 Ph: (475) 205-1021 |
| NPI Number | 1144995390 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144995390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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