Individual
MAUREEN COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5760 MONTICELLO DRIVE, ST GABRIEL, LA 70776
(225) 642-9676
(225) 642-9696
Mailing address
5760 MONTICELLO DRIVE, ST GABRIEL, LA 70776
(225) 642-9676
(225) 642-9696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2426
LA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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