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Individual

DEBRA TAYLOR COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
Mailing address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000530
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00004945301
VA
01
031838
VALUE OPTIONS
VA
01
161741
MAGELLAN
VA
01
228215000
MAGELLAN
VA
01
394645
ANTHEM
VA
01
O84204
OPTIMA
VA
Enumeration date
01/04/2007
Last updated
02/29/2008
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