Individual
MS. ALICE M ROTFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12 OXBOW RD, NATICK, MA 01760-3108
(508) 655-3175
Mailing address
12 OXBOW RD, NATICK, MA 01760-3108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1026140
MA
Other
Enumeration date
10/13/2006
Last updated
06/19/2013
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