Individual
STEPHANIE J COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
ENABLE MY CHILD, 3545 28 ST, ASTORIA, NY 11106
(212) 401-4835
Mailing address
2921 JOSEPH DR, FT. COLLINS, CO 80525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0015669
CO
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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