Individual
ANQUENETTE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 CREEKWOOD LN, LEWISVILLE, TX 75067-6552
(469) 671-8834
Mailing address
421 CREEKWOOD LN, LEWISVILLE, TX 75067-6552
(469) 671-8834
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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