FREDERICK COBURN

NEW HAVEN, CT
NPI1437518404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  9362)
Enumeration Date2016-02-18
Last Update Date2016-06-07
Business Address
-- FREDERICK COBURN LCSW
495 CONGRESS AVE
NEW HAVEN, CT 06519-1312
Phone number: 203-781-4600
Mailing Address
-- FREDERICK COBURN LCSW
1 LONG WHARF DR
NEW HAVEN, CT 06511-5946
Phone number:
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