Individual
CHRISTIE LACOLE COLEMAN-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10609 E WASHINGTON ST STE E, INDIANAPOLIS, IN 46229-2661
(317) 319-1832
(317) 644-0348
Mailing address
10609 E WASHINGTON ST STE E, INDIANAPOLIS, IN 46229-2661
(317) 319-1832
(317) 644-0348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201268090A
—
IN
Enumeration date
12/18/2014
Last updated
12/02/2019
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