Individual
DEBRA J COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7481 W OAKLAND PARK BLVD, STE 100, TAMARAC, FL 33319-4985
(888) 852-6672
(305) 891-4228
Mailing address
3269 COCOPLUM CIR, COCONUT CREEK, FL 33063-5908
(954) 972-7095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 5407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026267900
—
FL
01
—
AD261R
MEDICARE PTAN
FL
Enumeration date
12/06/2006
Last updated
11/05/2013
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