Individual
GLYNNESE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6966 JACKSBORO CT, N LAS VEGAS, NV 89084-2087
(702) 689-5450
Mailing address
6966 JACKSBORO CT, N LAS VEGAS, NV 89084-2087
(702) 689-5450
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
225400000X
NV
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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