Individual
GLENNA H COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 GRAND AVE, BEATTYVILLE, KY 41311
(606) 464-3212
(606) 464-0234
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6457
KY
Other
Enumeration date
04/05/2010
Last updated
10/05/2012
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