Individual
JACQUELYN G COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
97 MERBROOK LN, MERION STATION, PA 19066-1617
(610) 664-5805
(610) 664-5246
Mailing address
97 MERBROOK LN, MERION STATION, PA 19066-1617
(610) 664-5805
(610) 664-5246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000917L
PA
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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