Coaching for Life

NPI #1508264086 in Patchogue, New York

Provider Information

NPI Number: 1508264086
Entity Type: Organization
Organization Name: Coaching for Life
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 15, 2014
Last Updated: Dec 15, 2014

Practice Location

Address: 475 E MAIN ST
Address 2: STE 211
City: Patchogue
State: New York
ZIP Code: 11772-3121
Phone: (631) 569-4646

Authorized Official

Name: DEBRA COANE
Title: OFFICE MANAGER
Phone: (631) 681-4754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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