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DR. KENDELL LAMONTE COKER PH.D., J.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1033658471

Individual Registrant:
DR. KENDELL LAMONTE COKER PH.D., J.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
1224 MILL ST BLDG B STRAUN HEALTH AND WELLNESS EAST BERLIN, CT 06023-1159 US
Tel: 860-756-0455  Fax: --

Contact information for business:
1224 MILL ST BLDG B STRAUN HEALTH AND WELLNESS EAST BERLIN, CT 06023-1159 US
Tel: 860-756-0455  Fax: --

Registration Information:
NPI: 1033658471
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CT3203
N103T00000XBehavioral Health & Social Service Providers
Psychologist
IL071007774

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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