Individual
ELISE BIANCA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 276-4100
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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