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Individual

JENNIFER LYNN COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
203 N. RAILROAD AVE., RIDGELAND, SC 29936
(843) 645-7700
Mailing address
204 N. RAILROAD AVE., RIDGELAND, SC 29936

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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