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Individual

CARLIN DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
BRONX CHILD AND FAMILY MENTAL HEALTH CENTER, 579 COURTLANDT AVENUE, BRONX, NY 10451
(718) 485-2100
Mailing address
579 COURTLANDT AVENUE, BRONX CHILD AND FAMILY MENTAL HEALTH CENTER, BRONX, NY 10451

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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