Individual
DESIRAE ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3716 SIENNA AVE, LAS CRUCES, NM 88012-5101
(915) 215-1075
Mailing address
PO BOX 14225, LAS CRUCES, NM 88013-4225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11832
NM
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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