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Individual

EDWARD CLARANCE COLEMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC-M

Contact information

Practice address
939 MARTIN LUTHER KING AVE, FLINT, MI 48503
(810) 232-2091
Mailing address
144 EDWIN AVE, FLINT, MI 48505-3742
(810) 787-4536

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/10/2008
Last updated
04/10/2008
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