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Individual
MS. JUDY LYNN COHAN
Active
Individual
MS. JUDY LYNN COHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-00205
IL
1041C0700X
Clinical Social Worker
149002505
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149002505
LICENSE
IL
Enumeration date
03/26/2007
Last updated
10/11/2019
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