Individual
DEBORAH G ROUSLIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
29 COTTAGE AVE SUITE 11, QUINCY, MA 02169
(617) 472-9838
(617) 472-6269
Mailing address
29 COTTAGE AVE SUITE 11, QUINCY, MA 02169
(617) 472-9838
(617) 472-6269
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107796
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RA P30158
—
MA
Enumeration date
02/28/2006
Last updated
07/09/2007
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