Individual
MS. SHERRY LYNDA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 S MAIN ST, GROVE, OK 74344-5368
(918) 791-9700
Mailing address
34801 S 680 RD, JAY, OK 74346-5412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2010
Last updated
01/09/2010
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