Individual
MRS. GINA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 GREAT MEADOW LN, AVON, CT 06001-4549
(959) 226-8411
Mailing address
55 GREAT MEADOW LN, AVON, CT 06001-4549
(959) 226-8411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
01/24/2024
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