Individual
MOLLY BOWMAN COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3199
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PY9035
FL
103TC0700X
Clinical Psychologist
Primary
9035
FL
Other
Enumeration date
09/07/2011
Last updated
03/29/2016
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