Individual
JESSICA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3522 W LISBON AVE, MILWAUKEE, WI 53208
(414) 935-8000
(414) 344-3396
Mailing address
PO BOX 80257, MILWAUKEE, WI 53208-8004
(414) 935-8000
(414) 344-3396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7800-123
WI
Other
Enumeration date
01/25/2012
Last updated
05/30/2018
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