Most Relevant Information
Provider Data
NPI Number: | 1003035957 |
Provider Name: | SUSAN DEBRA COHN L.C.S.W. |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | LCS12606 |
Most Important Dates
Enumeration Date: | 04/25/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
1999 S COAST HWY
SUITE 7
LAGUNA BEACH
CA
926513663
Practice Location Phone/Fax
Phone: | 9494940544 |
Fax: |
Provider Mailing Location
1999 S COAST HWY
SUITE 7
LAGUNA BEACH
CA
926513663
Provider Mailing Phone/Fax
Phone: | 9494940544 |
Fax: |