Individual
JACQUELINE TELLER-ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2359 US HIGHWAY 70 SE # 216, HICKORY, NC 28602-8300
(704) 858-4048
Mailing address
2359 US HIGHWAY 70 SE # 216, HICKORY, NC 28602-8300
(704) 858-4048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
07/03/2024
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