Individual
DR. PATRICIA CAROL COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13610 BARRETT OFFICE DR., SUITE 210, ST LOUIS, MO 63021
(314) 662-0557
(314) 835-0021
Mailing address
11349 CRAGWOLD RD, SAINT LOUIS, MO 63122-7010
(314) 965-3466
(314) 835-0021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW000750
MO
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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