Individual
MR. GERALD MARK COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3 MOULTON AVE, LEBANON, NH 03766-1852
(603) 667-6148
Mailing address
3 MOULTON AVE, LEBANON, NH 03766-1852
(603) 448-3056
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
40825
NH
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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