JORDAN ALAN COUGHLEN

VERONA, PA
NPI1992568570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
Mr. JORDAN ALAN COUGHLEN
5932 HEBERTON DR
VERONA, PA 15147-3325
Phone number: 949-923-0595
Mailing Address
Mr. JORDAN ALAN COUGHLEN
5932 HEBERTON DR
VERONA, PA 15147-3325
Phone number: 949-923-0595