| Doctor Name: | MRS. SANDRA M COLLIER |
| NPI Number: | 1598996324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 149014209 |
| Business Practice Address: | 505 S 8th St East Saint Louis, IL - 622012919 |
| Business Phone Number: | 6184827330 |
| Business Fax Number: | 6184827639 |
| Mailing Address: | 203 Glenlake Dr, GLEN CARBON |
| State: | IL |
| Postal Code: | 620341112 |
| Phone Number: | 6182885497 |
| Fax Number: | 6182885403 |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149014209 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |