Individual
ELIZABETH GROSE ROGALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
15 WEST PROSPECT STREET, EAST BRUNSWICK, NJ 08816
(732) 254-0600
Mailing address
90 FAIRFIELD AVE, VINEYARD HAVEN, MA 02568-5330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05716300
NJ
Other
Enumeration date
08/31/2011
Last updated
10/14/2016
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