Individual
STACEY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 426-6567
Mailing address
2310 PINE ST APT 303, PHILADELPHIA, PA 19103-6469
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
PGC000129
PA
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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