Individual
MR. JOHN COONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MALBSW
Contact information
Practice address
21885 DUNHAM RD, SUITE #5, CLINTON TWP, MI 48036-1030
(586) 469-5200
Mailing address
35711 JOLAINE CT, RICHMOND, MI 48062-5628
(586) 727-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801065575
MI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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