Individual
JOEY R ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1640 BRYAN STATION RD # 1, LEXINGTON, KY 40505-2144
(859) 288-2425
(859) 288-7510
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3942
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100564990
—
KY
Enumeration date
11/09/2018
Last updated
05/23/2019
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