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1184867830
CAROLE ANN COUGHLIN
GLENDALE, AZ
NPI
1184867830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC1608)
Enumeration Date
2009-04-10
Last Update Date
2009-04-10
Business Address
-- CAROLE ANN COUGHLIN MAPC, LISAC, CCJP
5008 W GLENDALE AVE
GLENDALE, AZ 85301-2751
Phone number: 623-930-9317
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Mailing Address
-- CAROLE ANN COUGHLIN MAPC, LISAC, CCJP
5008 W GLENDALE AVE
GLENDALE, AZ 85301-2751
Phone number: 623-930-9317
Copy
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