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1396175980
JACQUELYN COUGHLIN
RIVERVIEW, FL
NPI
1396175980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 10963)
Enumeration Date
2013-11-18
Last Update Date
2013-11-18
Business Address
-- JACQUELYN COUGHLIN LCSW
10901 CARNELIAN LN
RIVERVIEW, FL 33578-3915
Phone number: 813-967-5616
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Mailing Address
-- JACQUELYN COUGHLIN LCSW
10901 CARNELIAN LN
RIVERVIEW, FL 33578-3915
Phone number:
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