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Individual
ROSEMARY KOLLSTEDT
Active
Individual
ROSEMARY KOLLSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261420796
TAX ID
NC
01
—
50033
BCBS
NC
05
—
6002629
—
NC
Enumeration date
06/21/2006
Last updated
03/02/2017
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