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Individual

KELLYE SUSAN COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
152 MS-7 #A, OXFORD, MS 38655
(662) 234-7521
Mailing address
212 HIGHWAY 6 E, OXFORD, MS 38655-9297
(662) 234-7521

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MS

Other

Enumeration date
11/08/2024
Last updated
11/08/2024
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