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Individual

MS. CONNIE BARBARA COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
36 WELLES ST, SUITE230, GLASTONBURY, CT 06033-2080
(203) 454-6722
Mailing address
PO BOX 365956, HYDE PARK, MA 02136-0017
(617) 796-2907

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
002896
CT
1041C0700X
Clinical Social Worker
Primary
112250
MA

Other

Enumeration date
12/29/2005
Last updated
12/17/2010
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