Individual
MARINA COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 E MAIN ST, HENDERSONVILLE, TN 37075-2602
(704) 307-8616
Mailing address
843 HALLTOWN RD, PORTLAND, TN 37148-9072
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
10/22/2024
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