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Individual

BARBARA WYNN COUGHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADC

Contact information

Practice address
1010 LAKE ST, STE 603A, OAK PARK, IL 60301-1136
(224) 532-6814
(312) 578-9004
Mailing address
240 WASHINGTON BLVD, APT 3B, OAK PARK, IL 60302-4123
(224) 532-6814

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32989
IL
1041C0700X
Clinical Social Worker
Primary
149019158
IL
1041C0700X
Clinical Social Worker

Other

Enumeration date
03/18/2017
Last updated
12/04/2020
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