Individual
TYNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W 6TH ST, MOUNTAIN HOME, AR 72653-3509
(870) 425-8642
(870) 425-8652
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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