Individual
JENNIFER TARA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
75 GRANITE ST, NEW LONDON, CT 06320-5770
(860) 615-9652
Mailing address
PO BOX 4, MYSTIC, CT 06355-0004
(860) 615-9652
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
10/30/2023
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