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Individual
MARCUS WILLIAM ROSE
Active
Individual
MARCUS WILLIAM ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSP, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA5946
FL
235Z00000X
Speech-Language Pathologist
Primary
SA5946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000843100
—
FL
05
—
886346600
—
FL
Enumeration date
12/20/2006
Last updated
03/20/2015
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