Individual
BRENDA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
(617) 682-5510
Mailing address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03534
RI
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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