Mr. Coleman Pettway Jr.
Mr. Coleman Pettway Jr. is a Social Worker in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
89 Butler AveBuffalo, NY 14208-1517
Phone: (516) 592-8452
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 094503 (NY) |
|---|
Record details
| NPI number | 1588269989 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2020 |
| Last updated in NPPES | December 2, 2020 |
| Certification date | December 2, 2020 |
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