Individual
MARTHA E. COPLEY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
118 RIVER DR, PIKEVILLE, KY 41501-1597
(606) 432-3143
(606) 437-5412
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202644
ANTHEM BC/BS
KY
01
—
7922571
AETNA
KY
01
—
800012730
RAIL ROAD MEDICARE
KY
Enumeration date
08/19/2006
Last updated
10/21/2008
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