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Individual
MS. REGINA M ROSSETTO
Active
Individual
MS. REGINA M ROSSETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149006672
—
IL
01
—
1617631
BLUE CROSS BLUE SHIELD
IL
01
—
202591
MEDICARE
IL
Enumeration date
04/20/2007
Last updated
09/18/2008
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