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Individual

MARLEE COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
12520 PROSPERITY DR STE 210, SILVER SPRING, MD 20904-1684
(301) 869-7505
Mailing address
2929 FLORAL DR, NORTHBROOK, IL 60062-6403

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10076
MD
235Z00000X
Speech-Language Pathologist
146015157
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10076
MARYLAND SPEECH-LANGUAGE LICENSE
MD
01
242005007
LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY
IL
Enumeration date
09/10/2018
Last updated
05/09/2022
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