| Doctor Name: | ROSIE LAURENT |
| NPI Number: | 1295180107 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 009401 |
| Business Practice Address: | 121 Wakelee Ave Ansonia, CT - 064011198 |
| Business Phone Number: | 2035033650 |
| Business Fax Number: | 2035033659 |
| Mailing Address: | 400 Columbus Ave, NEW HAVEN |
| State: | CT |
| Postal Code: | 065191233 |
| Phone Number: | 2035033174 |
| Fax Number: | 2035033183 |
| NPI Enumeration Date: | 04/28/2016 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 009401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |