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1194472936
MERRITT COUGHLAN-SMITH
MAYWOOD, IL
NPI
1194472936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
MERRITT COUGHLAN-SMITH
311 WASHINGTON BLVD
MAYWOOD, IL 60153-2154
Phone number: 651-425-8667
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Mailing Address
MERRITT COUGHLAN-SMITH
836 S MAPLE AVE APT 20
OAK PARK, IL 60304-1071
Phone number: 651-425-8667
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