Individual
DR. STEPHANY CASSANDRA COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6434 KANSAS LN APT 12, TAKOMA PARK, MD 20912-4722
(240) 487-6675
Mailing address
6434 KANSAS LANE,, #12, TAKOMA PARK, MD 20912
(240) 487-6675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4687
NC
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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