Individual
MS. ELEANORE CATHERINE COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CP00453479
WV
1041C0700X
Clinical Social Worker
Primary
CP00453479
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00453479
SOCIAL WORK LICENSE
WV
Enumeration date
02/26/2007
Last updated
09/11/2025
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