Individual
STEPHANIE COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 JEAN AVE, NORWALK, CT 06850-1810
(203) 451-5883
Mailing address
16 JEAN AVE, NORWALK, CT 06850-1810
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000391
CT
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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