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Individual
LISA MARIE COGSWELL
Active
Individual
LISA MARIE COGSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SP. ED., SBL
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1730721
NY
252Y00000X
Early Intervention Provider Agency
1730721
NY
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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