Individual
ALISA BROOKE ROSENBLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
137 BAKER AVE, BERGENFIELD, NJ 07621-3357
(917) 524-9684
Mailing address
801 AMSTERDAM AVE, NEW YORK, NY 10025-5752
(212) 316-8300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095474
NY
Other
Enumeration date
09/17/2018
Last updated
08/05/2024
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