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Organization

COLEMAN THERAPY PROVIDERS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE COLEMAN M. ED., CCC-SLP (CHIEF EXECUTIVE OFFICER)
(678) 834-6714
Entity
Organization

Contact information

Practice address
3606 LOCKLYN LN SE, SMYRNA, GA 30080-2395
(678) 834-6714
(678) 550-9229
Mailing address
3606 LOCKLYN LN SE, SMYRNA, GA 30080-2395
(678) 834-6714
(678) 550-9229

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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