Individual
JED Y ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
88 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3199
(201) 670-6987
(201) 670-9190
Mailing address
88 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3199
(201) 670-6987
(201) 670-9190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00099900
NJ
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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