Tracie Coleman, LCSW
Social Worker, Clinical in Memphis, TN. Individual provider (NPI-1).
NPI number1154064657
StatusActive
Last updated in NPPESApr 14, 2022
Details
- NPI
- 1154064657
- Entity type
- Individual (NPI-1)
- Name
- Tracie Coleman
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2022
- Certification date
- Apr 14, 2022
- Last updated
- Apr 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW19506 | FL | Yes |
Practice location
1265 Union AveMemphis, TN 38104-3415
Phone 901-356-2770
Mailing address
9288 Garden Woods CvCordova, TN 38016-4727
Phone 901-238-5773
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