Individual
DERTHLEY ROSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 LENOX ST UNIT 211, NORWOOD, MA 02062-3694
(774) 360-4266
Mailing address
165 LENOX ST UNIT 211, NORWOOD, MA 02062-3694
(774) 360-4266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
550E6BEF-6F0B-4BE8-B
MA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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