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1669234035
DEREK L COLEMAN
MILWAUKEE, WI
NPI
1669234035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
DEREK L COLEMAN
6815 W CAPITOL DR
MILWAUKEE, WI 53216-2070
Phone number: 414-466-3204
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Mailing Address
DEREK L COLEMAN
5389 W FAIRY CHASM RD
BROWN DEER, WI 53223-1609
Phone number: 414-807-5090
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