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1801048780
TERRI COALTER
JACKSON, MS
NPI
1801048780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C2641)
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
Ms. TERRI COALTER LCSW, BCD
4500 I 55 N SUITE 293
JACKSON, MS 39211-5930
Phone number: 601-982-5943
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Mailing Address
Ms. TERRI COALTER LCSW, BCD
25872 HIGHWAY 18
UTICA, MS 39175-9386
Phone number: 601-946-5851
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