Individual
NELLIE M ROSTOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADCI
Contact information
Practice address
140 PARK ST, ATTLEBORO, MA 02703-3064
(508) 222-7525
(508) 223-4453
Mailing address
140 PARK ST, ATTLEBORO, MA 02703-3064
(508) 222-7525
(508) 223-4453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130961
—
MA
Enumeration date
05/30/2008
Last updated
05/30/2008
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