Individual
GAIL ANNE ROTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006783A
IN
1041C0700X
Clinical Social Worker
3776
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000868246
ANTHEM
—
01
—
12664050
CAQH
IN
Enumeration date
03/21/2014
Last updated
08/14/2014
Update your record
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