Individual
JILL KARK COUGHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8101 E LOWRY BLVD STE 260, DENVER, CO 80230-7197
(720) 859-8222
Mailing address
7397 E 10TH AVE, DENVER, CO 80230-4892
(704) 771-6439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09929524
CO
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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