Individual
EVADNE C COACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
553 FARMINGTON AVE, HARTFORD, CT 06105-3026
(860) 995-7932
Mailing address
32 BYRD RD, WETHERSFIELD, CT 06109-3005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13730
CT
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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