Individual
DEBORAH M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20 CEREL CIR, BROCKTON, MA 02302-1929
(617) 642-3305
Mailing address
20 CEREL CIR, BROCKTON, MA 02302-1929
(508) 588-5826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1025015
MA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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