Individual
ALICE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 1ST ST NE, MASSILLON, OH 44646-4273
(330) 316-9678
Mailing address
1411 1ST ST NE, MASSILLON, OH 44646-4273
(330) 316-9678
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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