Individual
PEGGY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.D.C.
Contact information
Practice address
600 DENVER ST, PAWNEE, OK 74058-3522
(918) 762-3686
(918) 762-2617
Mailing address
PO BOX 122, PAWNEE, OK 74058-0122
(918) 762-2944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60
OK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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