Individual
MRS. JACQUETTA RESHON COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10926 DAVID TAYLOR DR, CHARLOTTE, NC 28262-1293
(980) 217-3340
Mailing address
10926 DAVID TAYLOR DR, CHARLOTTE, NC 28262-1293
(980) 217-3340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
08/12/2024
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