Individual
ELYSE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3010 SCOTT BLVD, SUITE 103, TEMPLE, TX 76504
(254) 773-4022
(254) 773-0919
Mailing address
3010 SCOTT BLVD, SUITE 103, TEMPLE, TX 76504-6800
(254) 773-4022
(254) 773-0919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30183
TX
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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