SearchGeorgia101YP2500X

M Coolidge, LCSW

NPI 1013055094 · on the registry since 2007 · sole proprietor

Practice

Address
1213 Cherry Ln
Canton, GA 30114
Phone
(678) 494-6690
Fax
(678) 494-9622

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia