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Individual

ALEXCIS COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SAC-IT

Contact information

Practice address
6815 W CAPITOL DR STE 217, MILWAUKEE, WI 53216
(414) 322-8827
Mailing address
4001 W HEMLOCK ST, MILWAUKEE, WI 53209-1956
(414) 322-8827

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3215
WI
374U00000X
Home Health Aide
WI

Other

Enumeration date
07/09/2018
Last updated
09/07/2018
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