Individual
MS. BETH RACHAEL ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW ACSW
Contact information
Practice address
320 KING OF PRUSSIA RD, RADNOR, PA 19087-4440
(215) 254-1580
(215) 487-3972
Mailing address
6708 MC CALLUM ST, PHILADELPHIA, PA 19119
(215) 843-5672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW007606L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000008810009
—
PA
01
—
1000008810025
DEPT OF PUBLIC WELFARE ME
PA
Enumeration date
02/12/2007
Last updated
12/21/2010
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