Individual
MRS. KEATON ELAINE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4663 HIGHWAY K, O FALLON, MO 63368-8690
(636) 538-8619
Mailing address
4663 HIGHWAY K, O FALLON, MO 63368-8690
(636) 538-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023011250
MO
1041C0700X
Clinical Social Worker
Primary
2026010859
MO
Other
Enumeration date
08/30/2023
Last updated
04/07/2026
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