Individual
AMANDA MARIE COGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 CLARA AVE, UKIAH, CA 95482-4002
(707) 462-1932
(707) 462-2070
Mailing address
PO BOX 1350, UKIAH, CA 95482-1350
(707) 462-1932
(707) 462-2070
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
9902EXEMPT006
CA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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