Individual
MS. ANGELA RENEE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
628 N BROADWAY ST, MOORE, OK 73160-4814
(405) 626-1711
Mailing address
932 NW 12TH ST, MOORE, OK 73160-1643
(405) 481-0448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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