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Individual

MR. THEODORE SCOTT ROSNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2156
(607) 664-2152
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2156
(607) 664-2152

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/13/2010
Last updated
01/13/2010
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