Provider Information for 1891124145
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VERENA COES LCSW
Sex: Female
NPI: 1891124145
Last Updated: 2018-05-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1891124145 | ||||||||
| Enumeration Date | 2013-11-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11120 S CROWN WAY STE 1 WELLINGTON, FL 33414-8718 United States Phone: 580-581-1500 | Fax:561-793-0669 | ||||||||
| Primary Practice Address | 11120 S CROWN WAY STE 1 WELLINGTON, FL 33414-8718 United States Phone: 580-581-1500 | Fax: | ||||||||
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