Individual
ALYSSA CHANTELLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
4009 BARRETT DR, RALEIGH, NC 27609-6616
(984) 221-8568
Mailing address
713 CORMICHE LN, WAKE FOREST, NC 27587-3387
(984) 272-6116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020568
NC
Other
Enumeration date
06/10/2024
Last updated
09/17/2024
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