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NPI Code Detail

MEDICARE: MS. HARRIET ROSSETTO LCSW

MEDICARE: MS. HARRIET ROSSETTO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLN12057CA

General Provider Information

NPI Number : 1134475874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HARRIET ROSSETTO LCSW
Provider Business Mailing Address
First Line : 8855 VENICE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3223
Country : US
Telephone Number : 310-204-5200
Fax Number :
Provider Business Practice Location Address
First Line : 8855 VENICE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3223
Country : US
Telephone Number : 310-204-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2012
Last Update Date : 07/31/2012

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Directions to “ MS. HARRIET ROSSETTO LCSW” Practice Location

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