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MS. RUTH SUSAN ROSENSTEIN LCSW

Behavioral Analyst

Saint Louis, Missouri

Provider NPI: 1033351333

Provider Information:
MS. RUTH SUSAN ROSENSTEIN LCSW
Gender: F
Sole Proprietor


Practice Location:
12647 OLIVE BLVD SUITE 600 SAINT LOUIS, MO 63141 US
Tel: 180-032-5398  Fax: --

Business Mailing Address:
12647 OLIVE BOULEVARD SUITE 600 ST. LOUIS, MO 63141 US
Tel: 180-032-5398  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

AZLCSW-3888

Other Provider Identifiers:

IssuerNumberStateType
FEDERAL I.D. # 22-335-759522-335-7595NJ01
MEDICARE PROVIDER NUMBERRO523636NJ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS MO - Page 1



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