Individual
JACKLYN COELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 WEST ST, DANBURY, CT 06810
(203) 748-5689
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
(203) 748-5689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4929
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/05/2018
Last updated
10/03/2019
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