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Individual
JONATHAN ROSENGREN
Active
Individual
JONATHAN ROSENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33008049A
IN
1041C0700X
Clinical Social Worker
6801098780
MI
Other
Enumeration date
09/22/2015
Last updated
02/06/2018
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