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Individual
DARION JAMAR ROSE
Active
Individual
DARION JAMAR ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1906
PERSONAL
TX
Enumeration date
01/31/2019
Last updated
06/11/2019
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