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Individual

MITCHELL COGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1637 POPLAR ST APT 6F, PHILADELPHIA, PA 19130-1755
(856) 425-2942
Mailing address
1637 POPLAR ST APT 6F, PHILADELPHIA, PA 19130-1755
(856) 425-2942

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3TP12-009
NJ
106H00000X
Marriage & Family Therapist

Other

Enumeration date
08/16/2012
Last updated
11/04/2024
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