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Individual

MR. JEROME GEORGE ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED

Contact information

Practice address
303 NE 7TH ST, COUPEVILLE, WA 98239-3571
(360) 678-0804
Mailing address
303 NE 7TH ST, COUPEVILLE, WA 98239-3571
(360) 678-0804

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001406
WA

Other

Enumeration date
05/12/2007
Last updated
07/08/2007
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