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1346596590
KARISSA DIANE COLEMAN
SOUTHAVEN, MS
NPI
1346596590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-25
Last Update Date
2023-06-24
Business Address
KARISSA DIANE COLEMAN
6880 COBBLESTONE BLVD STE 1
SOUTHAVEN, MS 38672-9313
Phone number: 662-253-8324
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Mailing Address
KARISSA DIANE COLEMAN
6880 COBBLESTONE BLVD STE 1
SOUTHAVEN, MS 38672-9313
Phone number: 662-253-8324
Copy
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