Individual ProviderMarilou ColemanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address600 N Olive St, Media, PA 19063(610) 566-7540PECOS EnrollmentBased on the most recent information from CMS, provider Marilou Coleman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215094818Provider TypeIndividualFull NameColeman, MarilouTitleMs.CredentialMSW LCSWGenderFemaleSole ProprietorNoEnumeration Date1/2/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address600 N Olive St, Media, PA 19063Phone(610) 566-7540Fax(610) 566-7677Mailing LocationMailing Address600 N Olive St, Media, PA 19063Phone(610) 566-7540Fax(610) 566-7677Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW014710Pennsylvania