Individual
JENNIFER ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-4200
Mailing address
21 HOLMES ST APT 1B, EAST HARTFORD, CT 06118-2163
(860) 967-8700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178280864
CT
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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