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Individual

CATHERINE M ROSA

Active
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Individual

CATHERINE M ROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
08-158
221700000X
Art Therapist
Primary
16LP00004000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08-158
ART THERAPIST
01
16LP00004000
STATE OF NJ DIVISION OF CONSUMER AFFAIRS-LICENSED PROFESSIONAL ART THERAPIST
NJ
Enumeration date
03/29/2018
Last updated
01/18/2024
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