Individual
CLIFTON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 CARPENTER DR STE 400, ATLANTA, GA 30328-4933
(678) 460-0345
Mailing address
3019 CHACE LAKE DR, HOOVER, AL 35244-1072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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