Individual
ALYSE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4432 COLDWATER CANYON AVE APT 204, STUDIO CITY, CA 91604-5014
(818) 634-9875
Mailing address
4432 COLDWATER CANYON AVE APT 204, STUDIO CITY, CA 91604-5014
(818) 634-9875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
80676
CA
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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