Individual
STEPHEN MARK ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4490 MARKET COMMONS DR UNIT 701, FAIRFAX, VA 22033-6051
(571) 567-0308
Mailing address
4060 GATEWAY DR APT 5517, FAIRFAX, VA 22030-5063
(571) 668-0732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903003905
VA
Other
Enumeration date
07/20/2022
Last updated
08/21/2024
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