Provider Demographics
NPI:1750495024
Name:COHN, ANNE KONWALER (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:KONWALER
Last Name:COHN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 79
Mailing Address - Street 2:BOX 158
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09714
Mailing Address - Country:US
Mailing Address - Phone:3247-038-4847
Mailing Address - Fax:
Practice Address - Street 1:AVENUE DU HOCKEY 3
Practice Address - Street 2:
Practice Address - City:BRUSSELS
Practice Address - State:WOLUWE SAINT PIERRE
Practice Address - Zip Code:1150
Practice Address - Country:BE
Practice Address - Phone:011322-779-5230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD045351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADOOMedicare UPIN