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Individual
LORRAINE ROSE
Active
Individual
LORRAINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
163701
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.163701
OH
104100000X
Social Worker
Primary
I.2506804
OH
1041C0700X
Clinical Social Worker
CDCA.163701
OH
1041C0700X
Clinical Social Worker
Primary
I.2506804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289273
—
OH
Enumeration date
11/17/2017
Last updated
05/05/2026
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