Individual
MARCO M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1436 W IRVING PARK RD APT 3, CHICAGO, IL 60613-7245
(917) 573-2365
Mailing address
1436 W IRVING PARK RD APT 3, CHICAGO, IL 60613-7245
(917) 573-2365
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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