Individual
GARRETT B COAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
411 BROOK AVE, PASSAIC, NJ 07055-2402
(973) 778-0776
Mailing address
411 BROOK AVE, PASSAIC, NJ 07055
(973) 778-0776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05173400
NJ
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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