Individual
ROSE BATHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6476
(954) 764-6458
Mailing address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6476
(954) 764-6458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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