MS. Amanda Jessica Cohoon, BSW

NPI #1518413525 in Kawkawlin, Michigan

Provider Information

NPI Number: 1518413525
Entity Type: Individual
Name: MS. Amanda Jessica Cohoon, BSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: BSW
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 2464 MAPLE DR
City: Kawkawlin
State: Michigan
ZIP Code: 48631-9759
Phone: (989) 327-5092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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