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Individual

MRS. CHARLIE NICOLE COAKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 E MARKET ST STE A, LOUISVILLE, KY 40202-1218
(502) 588-4340
Mailing address
5443 E KINDERHOOK RD, SCOTTSBURG, IN 47170-6121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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