Individual
MARIO ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 221-6923
Mailing address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 221-6923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
19248
—
104100000X
Social Worker
Primary
19248
PR
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/21/2014
Last updated
12/26/2023
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