Individual
MRS. ALICE MARIE SMITH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
907 KIAMENSI ROAD, WILMINGTON, DE 19804-3421
(302) 998-6439
(302) 998-6439
Mailing address
907 KIAMENSI ROAD, WILMINGTON, DE 19804-3421
(302) 998-6439
(302) 998-6439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10000090
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036291
—
DE
01
—
4125184
TRICARE
DE
01
—
IP292150
MAGELLAN
DE
Enumeration date
03/06/2007
Last updated
07/08/2007
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