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1609198092
ANDREW DEAN COFFIN
JACKSON, MS
NPI
1609198092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-02-25
Last Update Date
2010-02-25
Business Address
Mr. ANDREW DEAN COFFIN CADC
500 D EAST WOODROW WILSON AVENUE MAGNOLIA ADDICTION TREATMENT SERVICES
JACKSON, MS 39216-4538
Phone number: 601-896-0349
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Mailing Address
Mr. ANDREW DEAN COFFIN CADC
500 D EAST WOODROW WILSON AVENUE MAGNOLIA ADDICTION TREATMENT SERVICES
JACKSON, MS 39216-4538
Phone number: 601-896-0349
Copy
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