Individual
MR. JASON ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
512 BROOKLAWN AVE, ROSELLE, NJ 07203-2578
(678) 367-9537
Mailing address
512 BROOKLAWN AVE, ROSELLE, NJ 07203-2578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05634600
NJ
1041C0700X
Clinical Social Worker
CSW005272
GA
Other
Enumeration date
08/18/2015
Last updated
06/04/2016
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