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Individual

MAKEESHA OLELIA COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1411 NW 14TH AVE, MIAMI, FL 33125-1616
(305) 325-0180
Mailing address
1411 NW 14TH AVE, MIAMI, FL 33125-1616
(305) 325-0180

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1159306000
FL
Enumeration date
09/02/2022
Last updated
11/29/2022
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