Individual
THERESA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5750 SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 662-2223
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1/79/641
CENTRAL COUNCIL FOR EDUCA
—
Enumeration date
05/23/2007
Last updated
07/13/2007
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