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Individual
REBECCA M COHEN
Active
Individual
REBECCA M COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005269
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004125862
—
CT
01
—
005269
UBH IND ID
CT
01
—
061082115
AETNA BEHAVIIRAL HEALTH
CT
01
—
140005269CT01
ANTHEM BSBC CT
CT
01
—
304506
MHN IND ID
CT
01
—
77ABH0020CT01
ANTHEM BH CLINIC ID
CT
01
—
9378400
PHCS IND ID
CT
01
—
ANC1319
OXFORD PIN CLINIC
CT
Enumeration date
10/20/2006
Last updated
03/12/2009
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