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Individual

CARLY M COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1034
(718) 845-2620
(718) 845-9380
Mailing address
108-19 ROCKAWAY BLVD, OZONE PARK, NY 11420
(718) 845-2620
(718) 845-9380

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
075400
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00075400
NY
Enumeration date
02/04/2009
Last updated
02/04/2009
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