Individual
MRS. CAITLIN MARIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
303 JEFFERSON AVE, FAIRPORT, NY 14450-2313
(585) 421-2185
Mailing address
303 JEFFERSON AVE, FAIRPORT, NY 14450-2313
(585) 421-2185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014658-1
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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