Individual
STEPHANIE BONGIORNO ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
959 N MAIN ST, PROVIDENCE, RI 02904-5715
(401) 331-1244
(401) 331-5772
Mailing address
959 N MAIN ST, PROVIDENCE, RI 02904-5715
(401) 331-1244
(401) 331-5772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01290
RI
Other
Enumeration date
05/18/2010
Last updated
02/25/2011
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