Individual
MS. JILL ILENE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 MAIN ST, SUITE #5, NORTHAMPTON, MA 01060
(413) 586-4802
(413) 586-5882
Mailing address
39 MAIN ST, SUITE #5, NORTHAMPTON, MA 01060
(413) 586-4802
(413) 586-5882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1018773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P05558
—
MA
Enumeration date
03/02/2007
Last updated
07/08/2007
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