Ivania Haslam Rosado

NPI #1053535971 in Stockton, California

Provider Information

NPI Number: 1053535971
Entity Type: Individual
Name: Ivania Haslam Rosado
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 12, 2007
Last Updated: Jan 26, 2011

Practice Location

Address: 1212 N CALIFORNIA ST
Address 2: CONREP
City: Stockton
State: California
ZIP Code: 95202-1552
Phone: (209) 953-7691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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