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Individual

DR. JOSEPH COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
505 E GREEN ST, CHAMPAIGN, IL 61820-5723
(217) 333-0041
Mailing address
806 W PENNSYLVANIA AVE, URBANA, IL 61801-4823

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009236
IL

Other

Enumeration date
11/14/2017
Last updated
11/14/2017
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