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Individual

MARK A ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1722 TREVILIAN WAY, LOUISVILLE, KY 40205-2057
(502) 377-3535
Mailing address
1722 TREVILIAN WAY, LOUISVILLE, KY 40205-2057
(502) 377-3535

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1547
KY
1041C0700X
Clinical Social Worker
34004364A
IN

Other

Enumeration date
09/25/2006
Last updated
05/08/2017
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