Individual
MRS. AMY LYN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
685 SAPLING LN, DEERFIELD, IL 60015-3925
(312) 925-3986
Mailing address
685 SAPLING LN, DEERFIELD, IL 60015-3925
(312) 925-3986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.010006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.010006
LICENSED CLINICAL SOCIAL WORKER
IL
Enumeration date
10/30/2013
Last updated
10/30/2013
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