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1962509026
LISA A COLLINS
BINGHAMTON, NY
NPI
1962509026
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Former Name
LISA A RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 073778)
Enumeration Date
2006-09-20
Last Update Date
2013-04-24
Business Address
-- LISA A COLLINS LMSW
305 MAIN ST
BINGHAMTON, NY 13905-2524
Phone number: 607-729-1295
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Mailing Address
-- LISA A COLLINS LMSW
305 MAIN ST
BINGHAMTON, NY 13905-2524
Phone number: 607-729-1295
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