Individual
JABINA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, IBCLC
Contact information
Practice address
5415 CATHARINE ST, PHILADELPHIA, PA 19143-2509
(215) 300-7609
Mailing address
5036 LOCUST ST, PHILADELPHIA, PA 19139-4235
(215) 300-7609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NOT APPLICABLE
—
Enumeration date
02/16/2017
Last updated
02/08/2023
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