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Individual
MS. JODI MITCHELL-ROSA
Active
Individual
MS. JODI MITCHELL-ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30377
LMSW
NY
Enumeration date
08/06/2012
Last updated
08/06/2012
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