Individual
MR. COLEMAN NEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 894-0651
(508) 894-0443
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(781) 420-9547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW227037
MA
Other
Enumeration date
06/25/2024
Last updated
09/19/2024
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