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Individual

JOHN W ROSENGRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16 MAIN RD, GLEN LYON, PA 18617-1250
(445) 255-7877
(802) 284-3210
Mailing address
16 MAIN RD, GLEN LYON, PA 18617-1250
(802) 284-3210

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW024442
PA

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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