Individual
RAEQUAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
700 WASHINGTON BLVD, BALTIMORE, MD 21230-2350
(410) 343-4343
Mailing address
6221 GREENLEIGH AVE UNIT 403, MIDDLE RIVER, MD 21220-2029
(631) 522-3176
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32677
MD
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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