Individual
MS. JOSEPHINE C COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MAC
Contact information
Practice address
150 BUTLER ST., SUITE D-3, MIDWAY, GA 31320-6923
(912) 442-0558
(912) 442-0563
Mailing address
191 OAK ISLAND DR, MIDWAY, GA 31320-6923
(912) 442-0558
(912) 442-0563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
507149
GA
1041C0700X
Clinical Social Worker
Primary
003091
GA
1041C0700X
Clinical Social Worker
1601C
AL
1041C0700X
Clinical Social Worker
CSW003091
GA
Other
Enumeration date
12/01/2006
Last updated
01/09/2014
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