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Individual

MS. LINDA ANN COATS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
30 C STREET N E, MIAMI, OK 74354-3361
(918) 540-1563
(918) 542-7778
Mailing address
30 C ST NE, MIAMI, OK 74354-6316
(918) 540-1563
(918) 542-7778

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
4726
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100732380C
OK
Enumeration date
01/26/2010
Last updated
12/09/2014
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