Individual
CHRISTINE LOUISE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-0585
(860) 450-0763
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-0585
(860) 450-0763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8983656-3501
UT
1041C0700X
Clinical Social Worker
Primary
10377
CT
Other
Enumeration date
03/27/2018
Last updated
11/05/2018
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