Provider Information for 1093145088
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Mrs. LYNNE COLLIER LCSW
Sex: Female
NPI: 1093145088
Last Updated: 2021-04-06
Certification Date: 2021-04-06
Certification Date: 2021-04-06
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1093145088 | ||||||||
| Enumeration Date | 2013-11-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 445 WINN WAY DECATUR, GA 30030-1707 United States Phone: 404-294-3835 | Fax:404-508-7795 | ||||||||
| Primary Practice Address | 903 PAVILION CT STE D MCDONOUGH, GA 30253-6672 United States Phone: 404-913-9114 | Fax: | ||||||||
| Secondary Practice Address(es) | 445 WINN WAY | ||||||||
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