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Individual
MONICA ANGEL ROSADO
Active
Individual
MONICA ANGEL ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006295
CT
1041C0700X
Clinical Social Worker
070476
NY
251S00000X
Community/Behavioral Health Agency
070476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006295
CT STATE LICENSED CLINICAL SOCIAL WORKER ID
CT
01
—
070476
NY STATE LICENSED CLINICAL SOCIAL WORKER ID
NY
01
—
11645404
CAQH
CT
01
—
14006295CT02
ANTHEM PROVIDER #
CT
Enumeration date
09/29/2006
Last updated
11/08/2010
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