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Individual
DR. JUDITH BRAILEY ROSENBERGER
Active
Individual
DR. JUDITH BRAILEY ROSENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2038
MA
1041C0700X
Clinical Social Worker
N177C1
NY
1041C0700X
Clinical Social Worker
Primary
R018879
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038
PSYCHOLOGIST PROVIDER
MA
01
—
R018879
LIC CLINICAL SOCIAL WORK
NY
Enumeration date
04/10/2007
Last updated
02/11/2010
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