Individual
CALLIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14050 NICOLLET AVE FL 3, BURNSVILLE, MN 55337-5710
(651) 313-8080
Mailing address
7771 157TH ST W, APPLE VALLEY, MN 55124-6362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25994
MN
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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