PHILLIP COFFEY

SOUTH BEND, IN
NPI1164497962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002131A)
Enumeration Date2006-02-23
Last Update Date2010-09-27
Business Address
-- PHILLIP COFFEY LCSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
Mailing Address
-- PHILLIP COFFEY LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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