Individual
CHERYL A COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 WILLARD ST, QUINCY, MA 02169-7482
(617) 774-1005
Mailing address
30 VERONICA LN, WEYMOUTH, MA 02189-2711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5602
MA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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