Individual
LAKRISHA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 705-6477
Mailing address
2512 NORMAN TER NW, HUNTSVILLE, AL 35810-3926
(256) 783-5957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3301G
AL
1041C0700X
Clinical Social Worker
Primary
4758C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
09/14/2015
Last updated
09/09/2021
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