Individual
LINDA STOUT COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 W REED RD STE A-1, GREENVILLE, MS 38701-6967
(662) 702-5108
Mailing address
503 WASHINGTON AVE, MOUND BAYOU, MS 38762-9657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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