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1881135291
MARK COLLINS
BLOOMINGTON, IN
NPI
1881135291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IN 33007901A)
Enumeration Date
2017-03-17
Last Update Date
2017-03-17
Business Address
MARK COLLINS MSW, LSW
221 E KIRKWOOD AVE SUITE 5
BLOOMINGTON, IN 47408-3559
Phone number: 917-471-1784
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Mailing Address
MARK COLLINS MSW, LSW
221 E KIRKWOOD AVE SUITE 5
BLOOMINGTON, IN 47408-3559
Phone number: 917-471-1784
Copy
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