Individual
MRS. ALICIA SHAVONN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Mailing address
385 CHAPPELLS HWY, SALUDA, SC 29138-8309
(864) 992-1123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8939
SC
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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