Individual
MRS. JACQUELINE MARIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED DOULA
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2605
(612) 302-4870
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2605
(612) 302-4870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16221
MN
374J00000X
Doula
374J0000X
MN
Other
Enumeration date
11/05/2010
Last updated
07/15/2011
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