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Individual

CARA DAYNE COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3283 122ND AVE, ALLEGAN, MI 49010-9511
(269) 673-6617
(269) 686-5201
Mailing address
3283 122ND AVE, ALLEGAN, MI 49010-9511
(269) 673-6617
(269) 686-5201

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012035
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401012035
STATE PROFESSIONAL LICENSE
MI
Enumeration date
05/04/2018
Last updated
05/04/2018
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