Doctor Name: | MRS. ELEANOR D COFFEY |
NPI Number: | 1053463026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 13LICSW |
Business Practice Address: | 37 South Main St Hanover, NH - 03755 |
Business Phone Number: | 6036431260 |
Business Fax Number: | 6036431260 |
Mailing Address: | Po Box 678, 37 South Main St HANOVER |
State: | NH |
Postal Code: | 03755 |
Phone Number: | 6036431260 |
Fax Number: | 6036431260 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 13LICSW |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |