Individual
MS. MARY SHEA ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,MS,LDN
Contact information
Practice address
449 GUILFORD ST, BRATTLEBORO, VT 05301-6401
(802) 257-9566
(802) 257-9566
Mailing address
449 GUILFORD ST, BRATTLEBORO, VT 05301-6401
(802) 257-9566
(802) 257-9566
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
R422803
IL
133V00000X
Registered Dietitian
Primary
R422803
IL
174H00000X
Health Educator
R422803
IL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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