MERRITT COUGHLAN-SMITH

MAYWOOD, IL
NPI1194472936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2022-03-02
Last Update Date2022-03-02
Business Address
MERRITT COUGHLAN-SMITH
311 WASHINGTON BLVD
MAYWOOD, IL 60153-2154
Phone number: 651-425-8667
Mailing Address
MERRITT COUGHLAN-SMITH
836 S MAPLE AVE APT 20
OAK PARK, IL 60304-1071
Phone number: 651-425-8667