Individual
TAMMY A COFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
2751 W MAIN ST, CARBONDALE, IL 62901-1000
(618) 529-5944
(618) 529-5785
Mailing address
2751 W MAIN ST, CARBONDALE, IL 62901-1000
(618) 529-5944
(618) 529-5785
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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