Individual
TIMOTHY M COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
2733 VILLAGE GRN E, MOUNT PLEASANT, WI 53406-1933
(781) 718-3956
Mailing address
2733 VILLAGE GRN E, MOUNT PLEASANT, WI 53406-1933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135795
WI
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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