Individual
KENNETH COLEMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7307
(313) 343-7801
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7307
(313) 343-7801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006478
MI
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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