Individual provider · NPI-1

Sanara Rene Coleman, LCSW

Social Worker, Clinical · Crowley, LA

NPI number1457992901
StatusActive
Last updated in NPPESNov 3, 2022

Details

NPI
1457992901
Entity type
Individual (NPI-1)
Name
Sanara Rene Coleman
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2019
Certification date
Nov 3, 2022
Last updated
Nov 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical11181LAYes

Practice location

1822 W 2nd St
Crowley, LA 70526-4720

Phone 337-788-7511 · Fax 337-788-7588

Mailing address

1822 W 2nd St
Crowley, LA 70526-4720

Phone 337-788-7511 · Fax 337-788-7588

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