| Alicia Coffman Llc | |
|
1011 Brookside Rd Ste 302 Allentown PA 18106-9042 | |
| (484) 809-9366 | |
| Not Available |
| Full Name | Alicia Coffman Llc |
|---|---|
| Speciality | Counselor |
| Location | 1011 Brookside Rd Ste 302, Allentown, Pennsylvania |
| Authorized Official Name and Position | Alicia Coffman (OWNER) |
| Authorized Official Contact | 4849547982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Coffman Llc 4211 Minsi St Schnecksville PA 18078-2616 Ph: () - | Alicia Coffman Llc 1011 Brookside Rd Ste 302 Allentown PA 18106-9042 Ph: (484) 809-9366 |
| NPI Number | 1013552132 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013552132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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