Jared Coffman
NPI #1174297071 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1174297071
- Entity Type
- Individual
- Name
- Jared Coffman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 4, 2021
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 763 REVERE ST
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-4563
- Phone
- (815) 549-0981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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