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Individual
MRS. LOUISE A KOHORN
Active
Individual
MRS. LOUISE A KOHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW100709
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299698
MAGELLAN
MA
01
—
76745
UNITED BEHAVIORAL HEALTH
MA
01
—
P21206
CHAMPUS
MA
01
—
PO1094
BCBS OF MA
MA
Enumeration date
08/23/2006
Last updated
07/08/2007
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