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Individual
CARSON COZAD
Active
Individual
CARSON COZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ASW63374
CA
1041C0700X
Clinical Social Worker
Primary
LCSW93127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720385032
—
CA
Enumeration date
12/12/2014
Last updated
05/27/2021
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