Individual
DIANE MARIE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TVI
Contact information
Practice address
24 MAPLE AVE, WHEELING, WV 26003-5733
(304) 650-0436
Mailing address
24 MAPLE AVE, WHEELING, WV 26003-5733
(304) 650-0436
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
WV
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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