Individual
ALLISON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(539) 240-4411
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(539) 240-4411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9004
OK
Other
Enumeration date
07/16/2016
Last updated
03/10/2023
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