Most Relevant Information
Provider Data
| NPI Number: | 1003550823 |
| Provider Name: | RAEMARIE COLEMAN BA CRIMINAL JUSTICE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
1235 SPRING GARDEN ST
PHILADELPHIA
PA
191233206
Practice Location Phone/Fax
| Phone: | 2157693561 |
| Fax: |
Provider Mailing Location
1235 SPRING GARDEN ST
PHILADELPHIA
PA
191233206
Provider Mailing Phone/Fax
| Phone: | 2157693561 |
| Fax: |