Individual
HEATHER COUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
102 E CECIL AVE STE D, NORTH EAST, MD 21901-4057
(443) 877-6959
(443) 281-0111
Mailing address
102 E CECIL AVE STE D, NORTH EAST, MD 21901-4057
(443) 877-6959
(443) 281-0111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23735
MD
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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