Individual
JANE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 MEADOWCROFT LN, LUTHERVILLE, MD 21093-6422
(410) 321-1304
Mailing address
315 MEADOWCROFT LN, LUTHERVILLE, MD 21093-6422
(410) 321-1304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05856
MD
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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