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NPI Code Detail

MEDICARE: MS. DEBORAH COHEN LICSW

MEDICARE: MS. DEBORAH COHEN LICSW
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
11041C0700XClinical Social Worker1032103MA

General Provider Information

NPI Number : 1851314538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH COHEN LICSW
Provider Business Mailing Address
First Line : 4 WALDO AVE
Second Line : #3
City : SOMERVILLE
State : MA
Zip : 02143-4319
Country : US
Telephone Number : 617-666-2614
Fax Number :
Provider Business Practice Location Address
First Line : 100 WILLIAM T MORRISSEY BLVD
Second Line : UNIVERSITY OF MASSACHUSETTS BOSTON COUNSELING CENTER
City : DORCHESTER
State : MA
Zip : 02125-3300
Country : US
Telephone Number : 617-287-5694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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Directions to “ MS. DEBORAH COHEN LICSW” Practice Location

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