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Individual

MICHELLE COFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 NORTH ST, BATH, ME 04530-2706
(423) 762-5329
Mailing address
1 NORTH ST, BATH, ME 04530-2706
(423) 762-5329

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15006
ME
1041C0700X
Clinical Social Worker
MC12853
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740340132
ME
Enumeration date
12/09/2011
Last updated
06/10/2025
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