Individual
MRS. TRACY KATHLEEN COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 UNION ST, HINGHAM, MA 02043-2960
(508) 455-2379
Mailing address
20 KING AVE, WEYMOUTH, MA 02188-2912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1095
MA
103K00000X
Behavior Analyst
—
MA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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