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Individual
EDWIN JOHN ROSENTHAL
Active
Individual
EDWIN JOHN ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LMHC, LADC1
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6787
MA
101YP2500X
Professional Counselor
1673
MA
Other
Enumeration date
02/27/2007
Last updated
06/14/2016
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