Provider Information for 1316536188
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CHANA COHEN LCSW
Sex: Female
NPI: 1316536188
Last Updated: 2021-01-15
Certification Date: 2021-01-15
Certification Date: 2021-01-15
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316536188 | ||||||||||||||
| Enumeration Date | 2021-01-15 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 115 W WOOLBRIGHT RD STE B BOYNTON BEACH, FL 33435-5908 United States Phone: 561-358-3703 | Fax: | ||||||||||||||
| Primary Practice Address | 115 W WOOLBRIGHT RD STE B BOYNTON BEACH, FL 33435-5908 United States Phone: 561-358-3703 | Fax: | ||||||||||||||
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