Individual
DR. CHAUNTEE S COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW
Contact information
Practice address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
(323) 948-0444
Mailing address
5014 W 58TH PL APT 413, LOS ANGELES, CA 90056-1637
(424) 213-0057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11621
PR
Other
Enumeration date
02/22/2011
Last updated
08/24/2022
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