Individual
JAMIE ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 LAFAYETTE STREET, NEW BRITAIN, CT 06051
(860) 224-3642
(860) 224-2760
Mailing address
575 MAIN ST FL 2, ATTN: CREDENTIALING DEPT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007741
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236338
—
CT
Enumeration date
09/14/2012
Last updated
09/14/2012
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