Individual
MRS. LATASHIA SHAWNTE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.J.
Contact information
Practice address
1200 2ND AVE S, NASHVILLE, TN 37210-4110
(615) 291-6414
Mailing address
230 VENTURE CIR, NASHVILLE, TN 37228-1604
(615) 460-4200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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