Individual
JANICE MARIE COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7972 SE 13TH AVE, SUITE 105, PORTLAND, OR 97202-6677
(503) 680-6594
Mailing address
PO BOX 80164, PORTLAND, OR 97280-1164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5762
OR
Other
Enumeration date
04/24/2013
Last updated
11/07/2014
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