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Individual
MRS. LISA COLEMAN
Active
Individual
MRS. LISA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
KY6961
KY
1041C0700X
Clinical Social Worker
Primary
255270
KY
Other
Enumeration date
05/08/2014
Last updated
02/07/2025
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