Individual
BETH ELLEN ROSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Mailing address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10297
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
02/12/2006
Last updated
07/09/2007
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