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Individual
VICTOR MARCELLAS ROSE JR.
Active
Individual
VICTOR MARCELLAS ROSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28281
NY
104100000X
Social Worker
Primary
096344
NY
1041S0200X
School Social Worker
—
—
Other
Enumeration date
05/25/2019
Last updated
05/26/2019
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