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Contact Information

MONTIQUE S COLLINS
729 W MALDONADO RD
PHOENIX, AZ85041-6763
 Phone: 602-455-4626
 Fax: 602-455-2624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Respite Care, Mental Illness, Child

385HR2055X
Indicates primary specialty

NPI Profile & details for MONTIQUE S COLLINS · (Female)

NPI Number 1811404437
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2018
Last updated 03/10/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 6439857
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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