Dominique Coffie
NPI #1962805176 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1962805176
- Entity Type
- Organization
- Organization Name
- Dominique Coffie
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 1, 2014
- Last Updated
- Oct 1, 2014
Practice Location
- Address
- 6727 175TH ST
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-4041
- Phone
- (716) 603-9857
Authorized Official
- Name
- DOMINIQUE COFFIE
- Title
- MENTAL HEALTH PROFESSIONAL
- Phone
- (716) 603-9857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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