Individual
BLANCHE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 W EVANS ST, FLORENCE, SC 29501-3410
(843) 661-4870
(843) 661-4873
Mailing address
915 ROYAL ST, FLORENCE, SC 29506-6762
(843) 665-9196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
03/28/2007
Last updated
07/08/2007
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