Individual
MATT COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
(339) 777-2268
Mailing address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
8005752
MA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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