Individual
ALBERT A COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 EAST BROADWAY, WEST MEMPHIS, AR 72301
(901) 415-4930
Mailing address
1205 E BROADWAY ST, WEST MEMPHIS, AR 72301-4428
(901) 415-4930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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