La Tonya Coleman
Social Worker in Detroit, MI. Individual provider (NPI-1).
NPI number1508240367
StatusActive
Last updated in NPPESJul 11, 2015
Details
- NPI
- 1508240367
- Entity type
- Individual (NPI-1)
- Name
- La Tonya Coleman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2015
- Last updated
- Jul 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 6802086843 | MI | Yes |
Practice location
100 River Place DrDetroit, MI 48207-4274
Phone 313-831-2337
Mailing address
100 River Place DrDetroit, MI 48207-4274
Phone 313-831-2337
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