Individual
JENNIFER ANN DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2619 W 6TH ST STE C, LAWRENCE, KS 66049-4300
(785) 615-1995
Mailing address
1335 REGENCY PL APT 4, LAWRENCE, KS 66049-4650
(915) 526-3506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13266
KS
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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