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Individual

SOFIA ROSENBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 GALLATIN ST NE, WASHINGTON, DC 20011-7533
(202) 483-8196
Mailing address
2333 ONTARIO ROAD NW, WASHINGTON, DC 20009

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50079715
DC
1041C0700X
Clinical Social Worker
Primary
LC50080060
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17710
MD LGSW
MD
Enumeration date
08/20/2013
Last updated
08/19/2022
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