Individual
CASEY M COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, APSW
Contact information
Practice address
201 MAIN ST STE 500, LA CROSSE, WI 54601-0716
(651) 427-6748
Mailing address
201 MAIN ST STE 500, LA CROSSE, WI 54601-0716
(651) 427-6748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130187
WI
Other
Enumeration date
06/10/2016
Last updated
08/02/2022
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