Individual
MS. JEAN ROSENGARTEN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000496A
IN
106H00000X
Marriage & Family Therapist
35000827A
IN
Other
Enumeration date
11/07/2005
Last updated
02/15/2013
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