# STEPHANIE HANEY ROSE LICSW, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700632403
- **Authorized official:** STEPHANIE HANEY ROSE LICSW (SOLE MEMBER)
- **Authorized official phone:** (802) 324-0348

## Contact information

- **Practice address:** 27 RYE CIR, SOUTH BURLINGTON, VT 05403-7632
- **Practice address phone:** (802) 654-7607
- **Practice address fax:** (802) 654-9155
- **Mailing address:** 27 RYE CIR, SOUTH BURLINGTON, VT 05403-7632
- **Mailing address phone:** (802) 654-7607
- **Mailing address fax:** (802) 654-9155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 04/24/2024