Individual
JUICIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
75 STATE ROUTE 15 UNIT G5, LAFAYETTE, NJ 07848-3208
(973) 500-8642
Mailing address
201 MOUNT HOPE AVE, DOVER, NJ 07801-2703
(973) 452-8823
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3FA00052100
NJ
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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