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Individual

ELISABETH H COFFEY

Active
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Individual

ELISABETH H COFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-11861
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00169100
NJ
1041C0700X
Clinical Social Worker
087039
NY
1041C0700X
Clinical Social Worker
Primary
44SC05378100
NJ

Other

Enumeration date
01/15/2019
Last updated
01/15/2019
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