Individual
MARCY COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-003201
IL
1041C0700X
Clinical Social Worker
34005302A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-003201
LCSW
IL
01
—
34005302A
LICENSED CLINICAL SOCIAL WORKER
IN
Enumeration date
03/13/2007
Last updated
12/03/2012
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