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1225078082
MARK L. COLLISTER
WILLIAMSPORT, PA
NPI
1225078082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: PA SW124379)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
-- MARK L. COLLISTER L.S.W.
435 W 4TH ST
WILLIAMSPORT, PA 17701-6001
Phone number: 570-322-7873
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Mailing Address
-- MARK L. COLLISTER L.S.W.
10 CATHERINE DR
WILLIAMSPORT, PA 17701-1292
Phone number: 570-322-7873
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