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Individual

JILL ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
THE EMORY CLINIC DEPARTMENT OF PSYCHIATRY, 1365 CLIFTON ROAD, SUITE B-6100, ATLANTA, GA 30322-0001
(404) 778-5526
(404) 778-4655
Mailing address
THE EMORY CLINIC DEPARTMENT OF PSYCHIATRY, 1365 CLIFTON ROAD, SUITE B-6100, ATLANTA, GA 30322-0001
(404) 778-5526
(404) 778-4655

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1998
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1998
LCSW LICENSE NUMBER
GA
Enumeration date
08/23/2006
Last updated
07/08/2007
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