MRS. Phyllis Ferguson Collum, LCSW

NPI #1902202054 in Dolton, Illinois

Provider Information

NPI Number: 1902202054
Entity Type: Individual
Name: MRS. Phyllis Ferguson Collum, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 17, 2014
Last Updated: Apr 4, 2024

Practice Location

Address: 15539 DOBSON AVE
City: Dolton
State: Illinois
ZIP Code: 60419-2708
Phone: (312) 810-5203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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