Individual
MISS MADIA J COKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 TURTLE CREEK WAY, LAWRENCEVILLE, GA 30043-6944
(470) 207-5388
Mailing address
2060 TURTLE CREEK WAY, LAWRENCEVILLE, GA 30043-6944
(470) 207-5388
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1125860
GA
103TS0200X
School Psychologist
43844101
NY
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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