Individual
MS. PHYLLIS ANTOINETTE COELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 CEDAR ST, BELFAST, ME 04915-6120
(207) 338-0254
Mailing address
124 CEDAR ST, BELFAST, ME 04915-6120
(207) 338-0254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R024223-1
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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