Individual
MS. BRENNA COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
63 ELM ST STE A, SUITE 1, TOPSHAM, ME 04086-1424
(207) 751-8518
Mailing address
63 ELM ST STE A, SUITE 1, TOPSHAM, ME 04086-1424
(207) 751-8518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8502
ME
Other
Enumeration date
10/19/2008
Last updated
09/16/2013
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