Individual
MADELINE BURGEN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5215 N, SABINO CANYON RD., TUCSON, AZ 85750-6435
(520) 243-9287
Mailing address
7775 E. WINDRIVER DR., TUCSON, AZ 85750-7017
(520) 243-9287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1919
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744468
—
AZ
Enumeration date
04/24/2009
Last updated
04/13/2011
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