MEDICARE: MS. SONIA MARINA COHEN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	ISW 3113	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144282070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONIA MARINA COHEN MSW

Provider Business Mailing Address
First Line	:	3440 NE 165TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3838
Country	:	US
Telephone Number	:	305-788-0466
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 NE 165TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3838
Country	:	US
Telephone Number	:	305-788-0466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	03/26/2009

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