Individual
AMBER COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 BOILER HOUSE RD BLDG 14H, PERRY POINT, MD 21902-1103
(410) 642-2411
Mailing address
PO BOX 1017, RANDALLSTOWN, MD 21133-1035
(410) 642-2411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21576
MD
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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