Individual
KIMBERLY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 POST RD, WARWICK, RI 02888-3363
(508) 292-0000
Mailing address
PO BOX 14754, EAST PROVIDENCE, RI 02914-0754
(508) 292-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01794
RI
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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