Individual
JORDAN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1421 MARSHALL AVE, MATTOON, IL 61938-5341
(217) 273-8155
Mailing address
1421 MARSHALL AVE, MATTOON, IL 61938-5341
(217) 273-8155
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
149021737
IL
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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