Individual
MS. JACQUELINE LOUISE COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4610 STREET RD, TREVOSE CORPORATE CENTER, TREVOSE, PA 19053
(800) 366-0129
(215) 638-1299
Mailing address
1043 MANOR LANE, SOUTHAMPTON, PA 18966
(610) 420-7216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012594
PA
Other
Enumeration date
04/04/2007
Last updated
10/29/2014
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