Individual
NICOLE SHEVALLE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S ORCHARD ST, THIENSVILLE, WI 53092-1807
(414) 839-8188
Mailing address
209 S ORCHARD ST, THIENSVILLE, WI 53092-1807
(414) 839-8188
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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