Individual
MR. JEFFREY ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
329 W 10TH ST, ERIE, PA 16502-1440
(814) 456-2091
(814) 456-1677
Mailing address
329 W 10TH ST, ERIE, PA 16502-1440
(814) 456-2091
(814) 456-1677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013711
PA
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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