Individual
ROSE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16587 ENTERPRISE DR STE E, THREE RIVERS, MI 49093-7902
(269) 244-4172
Mailing address
16587 ENTERPRISE DR STE E, THREE RIVERS, MI 49093-7902
(269) 244-4172
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
7402000190
MI
Other
Enumeration date
08/29/2018
Last updated
05/16/2024
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