Individual
MR. HAROLD BERNARD ROSE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1600 W MAUD ST STE 2, POPLAR BLUFF, MO 63901-4726
(573) 840-0615
(573) 872-4797
Mailing address
1600 W MAUD ST STE 2, POPLAR BLUFF, MO 63901-4726
(573) 840-0615
(573) 872-4797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
2018026062
MO
Other
Enumeration date
01/06/2020
Last updated
01/27/2025
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