JEFFERSON D COLLINS

ITHACA, NY
NPI1831254580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  RO46993-1)
Enumeration Date2006-12-23
Last Update Date2007-07-08
Business Address
-- JEFFERSON D COLLINS LCSW
312 1ST ST
ITHACA, NY 14850-3410
Phone number: 607-273-5464
Mailing Address
-- JEFFERSON D COLLINS LCSW
312 1ST ST
ITHACA, NY 14850-3410
Phone number: 607-273-5464
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