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Individual

ANGELA ROSSOMANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3701 LOOP RD, BLDG 39, TUSCALOOSA, AL 35404-5015
(205) 562-3700
(205) 562-3769
Mailing address
PO BOX 2190, TUSCALOOSA, AL 35403-2190
(205) 562-3700
(205) 562-3769

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1996C
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330000024
AL
Enumeration date
01/08/2008
Last updated
12/23/2008
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