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Individual

MS. ANN ADELE COSTELLO-ROCKROHR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW R

Contact information

Practice address
21 PLEASANT HILL RD, HOPEWELL JUNCTION, NY 12533
(845) 223-3448
Mailing address
21 PLEASANT HILL RD, HOPEWELL JUNCTION, NY 12533
(845) 223-3448

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0242591
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02026855
NY
01
617119
MVP
NY
01
6803602
VALUE OPTIONS
NY
Enumeration date
03/15/2006
Last updated
07/08/2007
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