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1134639594
JALISA MARIE COLEMAN
CHARLOTTE, NC
NPI
1134639594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC 13386)
Enumeration Date
2017-10-11
Last Update Date
2021-10-15
Business Address
JALISA MARIE COLEMAN NCC, LCMHC
1511 KENILWORTH AVE # UNITE315
CHARLOTTE, NC 28203-1508
Phone number: 196-219-7719
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Mailing Address
JALISA MARIE COLEMAN NCC, LCMHC
1511 KENILWORTH AVE # UNITE315
CHARLOTTE, NC 28203-1508
Phone number: 196-219-7719
Copy
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