Individual
JENNIFER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 OLD STONE LN, ARNOLD, MD 21012-2054
(410) 693-7226
Mailing address
1130 OLD STONE LN, ARNOLD, MD 21012-2054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05336
MD
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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