Provider Information for 1356638589
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MAUREEN ANNE COLLIGAN LPCC
Sex: Female
NPI: 1356638589
Last Updated: 2024-05-10
Certification Date: 2024-05-10
Certification Date: 2024-05-10
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356638589 | ||||||||||||
| Enumeration Date | 2011-07-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2849 E PINE ST # 8 DEMING, NM 88030-8618 United States Phone: 575-543-9136 | Fax: | ||||||||||||
| Primary Practice Address | 21 CENTER ST MIDDLETOWN, NY 10940-5704 United States Phone: 845-343-7675 | Fax:845-343-2501 | ||||||||||||
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