Individual
JAMES JEFFERY COATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 S 13TH ST, SAC CITY, IA 50583-1910
(712) 662-3222
Mailing address
322 S 13TH ST, SAC CITY, IA 50583-1910
(712) 662-3222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00860
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00860
LISW LICENSE
IA
Enumeration date
12/13/2006
Last updated
01/04/2008
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