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Individual

MS. CHRISTINA LOUISE COYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3 ACADEMY AVENUE, SAXTONS RIVER, VT 05154
(802) 869-2747
Mailing address
3 ACADEMY AVENUE, SAXTONS RIVER, VT 05154
(802) 869-2747

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
089.0084095
VT
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/07/2009
Last updated
10/17/2012
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