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Individual

BARRY ROTHENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
10 CENTRAL ST, SUITE 27, W SPRINGFIELD, MA 01089-2700
(413) 739-0712
Mailing address
489 N FARMS RD, FLORENCE, MA 01062-4510
(413) 586-4129

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1025349
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P07108
BCBSMA
MA
Enumeration date
02/02/2007
Last updated
07/08/2007
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