MS. Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC
NPI #1124336920 in South Hamilton, Massachusetts
Provider Information
- NPI Number
- 1124336920
- Entity Type
- Individual
- Name
- MS. Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW, LCSW, MT-BC
- Enumeration Date
- Sep 15, 2010
- Last Updated
- May 28, 2021
Practice Location
- Address
- 380 HIGHLAND ST
- City
- South Hamilton
- State
- Massachusetts
- ZIP Code
- 01982-1310
- Phone
- (978) 233-1226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Music Therapist |
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