Individual
MRS. JENNIFER SHAVONNE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
7727 DORCAS ST, PHILADELPHIA, PA 19111-2824
(215) 806-1995
(215) 437-7520
Mailing address
7727 DORCAS ST, PHILADELPHIA, PA 19111-2824
(215) 806-1995
(215) 437-7520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05324100
NJ
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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