Individual
SHIMON COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
125 FOREST AVE #8694, PORTLAND, ME 04104
(646) 220-3100
Mailing address
125 FOREST AVE #8694, PORTLAND, ME 04104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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