Individual
MRS. LISA MARIE BALL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
606 SUNNYSIDE AVE, CAROLINE CO MENTAL HEALTH CLINIC, DENTON, MD 21629
(410) 479-3800
(410) 479-0052
Mailing address
6122 SUICIDE BRIDGE RD, E NEW MARKET, MD 21631
(410) 479-3800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06137
MD
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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