Individual
MRS. CATHERINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 BUCKNELL DRIVE, MASSAPEQUA, NY 11758
(917) 282-4877
Mailing address
1211 BUCKNELL DRIVE, MASSAPEQUA, NY 11758
(917) 282-4877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R032298-01
NY
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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