Individual
AMBER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Mailing address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(213) 680-6300
(818) 243-5431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
80505
CA
1041C0700X
Clinical Social Worker
LCSW80505
CA
Other
Enumeration date
09/09/2013
Last updated
04/29/2020
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