Individual
MS. LISA ANN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,PLCSW
Contact information
Practice address
225 PHYSICIANS PARKWAY, SUITE 303, POPLAR BLUFF, MO 63901-3930
(573) 785-6536
(573) 785-0345
Mailing address
PO BOX 157, 110 SOUTH 2ND STREET, ELLINGTON, MO 63638-7427
(573) 323-0423
(573) 323-8931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
108985
TX
1041C0700X
Clinical Social Worker
Primary
108985
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467582312
—
MO
Enumeration date
03/07/2007
Last updated
04/01/2026
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