Individual
MRS. LAKISHA NICHOLS COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
249 PEARLIE OWENS DR, JACKSON, MS 39212-3273
(601) 597-0681
Mailing address
249 PEARLIE OWENS DR, JACKSON, MS 39212-3273
(601) 597-0681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3659
MS
Other
Enumeration date
08/08/2013
Last updated
05/04/2015
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