Individual
DR. CASEY RAY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
1619 E 5TH ST, SUPERIOR, WI 54880-3432
(715) 718-2163
(715) 718-2163
Mailing address
1619 E 5TH ST, SUPERIOR, WI 54880-3432
(715) 718-2163
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
213068
WI
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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