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Individual

AMY J ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
743 N NORTHLAKE DR, HOLLYWOOD, FL 33019-1110
(954) 789-2425
Mailing address
743 N NORTHLAKE DR, HOLLYWOOD, FL 33019-1110
(954) 789-2425

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
045140
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00244019
NY
Enumeration date
12/04/2008
Last updated
02/28/2023
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