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NPI Code Detail

MEDICARE: COLONI BROWN BSW

MEDICARE: COLONI BROWN BSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1457736035
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLONI BROWN BSW
Provider Business Mailing Address
First Line : 152 CENTER STREET
Second Line :
City : CHICOPEE
State : MA
Zip : 01013
Country : US
Telephone Number : 413-540-1214
Fax Number :
Provider Business Practice Location Address
First Line : 152 CENTER ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01013-1611
Country : US
Telephone Number : 413-540-1214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2015
Last Update Date : 07/24/2015

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Directions to “ COLONI BROWN BSW” Practice Location

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