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Individual
IESHA P ROSENBORO
Active
Individual
IESHA P ROSENBORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC13623
MD
175T00000X
Peer Specialist
0060
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060
DCAPC CERTIFIED PEER RECOVERY SPECIALIST
DC
01
—
LC13623
BOARD OF PROFESSIONAL COUNSELORS
MD
Enumeration date
12/04/2020
Last updated
03/01/2023
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