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1578048112
IDA DIAN MCCOLLUM
HOLYOKE, MA
NPI
1578048112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MA 1021963-SW-LICSW)
Enumeration Date
2018-09-29
Last Update Date
2018-09-29
Business Address
IDA DIAN MCCOLLUM
20 EASTHAMPTON RD APT F8
HOLYOKE, MA 01040-6847
Phone number: 413-315-3339
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Mailing Address
IDA DIAN MCCOLLUM
20 EASTHAMPTON RD APT F8
HOLYOKE, MA 01040-6847
Phone number:
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