Individual
MS. JEANINE COAKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
22001 FAIRMOUNT BLVD, BUILDING A, SHAKER HEIGHTS, OH 44118
(216) 320-8502
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1200282
OH
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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