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Individual

ANTHONY LEON COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1201 COUNTY ROAD 15 LOT 200, ELKHART, IN 46516-9664
(574) 226-2810
Mailing address
1201 COUNTY ROAD 15 LOT 200, ELKHART, IN 46516-9664
(574) 226-2810

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33010298A
IN

Other

Enumeration date
12/02/2021
Last updated
12/02/2021
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