Individual
DOROTHY M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
120 RIVER PARK DR, LIVERPOOL, NY 13090-2804
(315) 329-0220
Mailing address
PO BOX 33, FAYETTEVILLE, NY 13066-0033
(315) 329-0220
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000088-1
NY
Other
Enumeration date
05/25/2007
Last updated
04/12/2023
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