Individual
DONNA M COONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
570 N PEARL ST, MENANDS, NY 12204-1659
(518) 475-6808
Mailing address
11 MEADOW LANE, ALBANY, NY 12208
(518) 428-5506
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R03817
NY
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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