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1811254220
PHYLLIS COLEMAN
PRESTONSBURG, KY
NPI
1811254220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 165749)
Enumeration Date
2012-04-23
Last Update Date
2016-09-06
Business Address
-- PHYLLIS COLEMAN LCADC
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- PHYLLIS COLEMAN LCADC
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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