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Organization
KEVIN ROSE PLLC
Active
Organization
KEVIN ROSE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WILLIAM ROSE LMSW (PSYCHOTHERAPIST)
(734) 776-1605
Entity
Organization
Contact information
Practice address
42189 ANN ARBOR RD E, PLYMOUTH, MI 48170-4370
(734) 776-1605
Mailing address
17387 BRODY AVE, ALLEN PARK, MI 48101-3417
(734) 776-1605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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