Individual
JEANNINE M COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 PARK CT W, MEDFORD, NJ 08055-8232
(856) 596-5399
(856) 983-1398
Mailing address
106 PARK CT W, MEDFORD, NJ 08055-8232
(856) 596-5399
(856) 983-1398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00037400
NJ
1041C0700X
Clinical Social Worker
CW014176
PA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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