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Individual

MR. BALMAIN ROSEGREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1060 E 81ST ST, BROOKLYN, NY 11236-4200
(347) 254-6754
Mailing address
1060 E 81ST ST, BROOKLYN, NY 11236-4200
(347) 254-6754

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074806-1
NY

Other

Enumeration date
12/03/2008
Last updated
12/03/2008
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