Samantha Collazo
Samantha Collazo is a Social Worker in Fort Walton Beach, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
907 Mar Walt Dr Ste 2021Fort Walton Beach, FL 32547-6756
Phone: (850) 496-6923
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1609391069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 7, 2017 |
| Last updated in NPPES | January 18, 2023 |
| Certification date | January 18, 2023 |
| Mailing address | Po Box 4111, Shalimar, FL 32579-4111 |
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