Individual
MS. TERRI COALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
4500 I 55 N, SUITE 293, JACKSON, MS 39211-5930
(601) 982-5943
Mailing address
25872 HIGHWAY 18, UTICA, MS 39175-9386
(601) 946-5851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2641
MS
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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