Individual
FERN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6416 MISTY TOP PASS, COLUMBIA, MD 21044-6000
(443) 794-1763
Mailing address
6416 MISTY TOP PASS, COLUMBIA, MD 21044-6000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G04705
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G04705
LICENSE
MD
Enumeration date
08/13/2020
Last updated
08/13/2020
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