Individual
RAYMOND COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW, LCSW, CADC-D
Contact information
Practice address
602 PLEASANT OAK DR, OREGON, WI 53575-3282
(608) 835-5050
(608) 835-5010
Mailing address
602 PLEASANT OAK DR, OREGON, WI 53575-3282
(608) 835-5050
(608) 835-5010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1124-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124-123
LCSW WISC
WI
01
—
12900
CADC-C WISC
WI
Enumeration date
05/23/2007
Last updated
07/08/2007
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