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Individual

ALISHA MICKEL COFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1205 RIVER AVE, WILLIAMSPORT, PA 17701-3724
(570) 323-5991
Mailing address
520 W 4TH ST, WILLIAMSPORT, PA 17701-6038
(570) 327-4913

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/27/2018
Last updated
07/27/2018
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