Individual
MRS. ELEANOR D COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
37 SOUTH MAIN ST, HANOVER, NH 03755
(603) 643-1260
(603) 643-1260
Mailing address
PO BOX 678, 37 SOUTH MAIN ST, HANOVER, NH 03755
(603) 643-1260
(603) 643-1260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13LICSW
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y010668NH01
ANTHEM BL CROS BL SHIEL
NH
01
—
7482982
VALUE OPTIONS
—
05
—
80001299
—
NH
Enumeration date
01/18/2007
Last updated
07/08/2007
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