MRS. PHYLLIS FERGUSON COLLUM, LCSW

Social Worker - Clinical

Active Individual
NPI: 1902202054

Practice Address

15539 DOBSON AVE
Dolton, IL 60419

Phone: (312) 810-5203

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 149015907 (IL)
Counselor - Professional 101YP2500X No 149015907 (IL)
Social Worker - Clinical 1041C0700X Yes 149015907 (IL)

Frequently Asked Questions

NPI 1902202054 is the National Provider Identifier for MRS. PHYLLIS FERGUSON COLLUM, LCSW, a Social Worker - Clinical provider located in Dolton, IL. This NPI was enumerated on November 17, 2014.
MRS. PHYLLIS FERGUSON COLLUM, LCSW practices at 15539 DOBSON AVE, Dolton, IL 60419.

Quick Facts

NPI
1902202054
Type
Individual
Enumerated
Nov 17, 2014
Last Updated
Apr 4, 2024

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