Organization
DOMINIQUE COFFIE
Active
Other names
Dominique Coffie
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE COFFIE (MENTAL HEALTH PROFESSIONAL)
(716) 603-9857
Entity
Organization
Contact information
Practice address
6727 175TH ST, TINLEY PARK, IL 60477-4041
(716) 603-9857
Mailing address
6727 175TH ST, TINLEY PARK, IL 60477-4041
(716) 603-9857
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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