Individual
CHRISTIE ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW-C-
Contact information
Practice address
176 THOMAS JOHNSON DR, SUITE105, FREDERICK, MD 21702-4410
(240) 447-3991
Mailing address
8322 SHARON DRIVE, FREDERICK, MD 21704-8011
(301) 874-5593
(301) 874-5593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12719
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361279
MHN
MD
01
—
646762-01
CAREFIRST OF MARYLAND
MD
01
—
9409731
PHCS
MD
01
—
K786-0001
CAREFIRST-GHMSI
MD
Enumeration date
05/01/2006
Last updated
07/08/2007
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