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Individual

ANDREA M COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
27 COLLEGE ST, SOUTH HADLEY, MA 01075-6461
(413) 253-9474
Mailing address
15 WOODSIDE AVE, AMHERST, MA 01002-2524
(413) 256-8050

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111194
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P08499
BLUE CROSS
MA
Enumeration date
03/01/2007
Last updated
07/08/2007
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