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Individual

MR. JAMES FREDRICK KOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSSW LCSW C

Contact information

Practice address
336 SOUTH MAIN STREET STE 1 A, BEL AIR, MD 21014
(410) 893-0995
(410) 339-7169
Mailing address
210 GOUCHER WAY, CHURCHVILLE, MD 21028
(410) 734-6505

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
07144
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58050003
CARE FIRST BCBS
MD
01
6221437
UNITED BEHAVIORAL HEALTH
Enumeration date
12/18/2006
Last updated
07/08/2007
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