CONSTANCE JOAN COQUILLETTE

PORTLAND, OR
NPI1922237742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3057)
Enumeration Date2009-07-14
Last Update Date2009-07-14
Business Address
-- CONSTANCE JOAN COQUILLETTE LCSW
2410 SE 121ST AVE STE 216
PORTLAND, OR 97216-4085
Phone number: 971-404-5174
Mailing Address
-- CONSTANCE JOAN COQUILLETTE LCSW
12105 NE 40TH CIR
VANCOUVER, WA 98682-6488
Phone number: 971-404-5174