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Individual

MARGARET COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
255 S 17TH ST STE 1601, PHILADELPHIA, PA 19103-6216
(267) 571-7615
(610) 668-8609
Mailing address
280 RIPKA ST, PHILADELPHIA, PA 19127-1125
(513) 312-5680

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018634
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS018634
LICENSE
PA
Enumeration date
10/02/2018
Last updated
10/13/2022
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