Individual
STEPHANIE HANEY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
27 RYE CIRCLE, SOUTH BURLINGTON, VT 05403-0000
(802) 654-7607
(802) 654-9155
Mailing address
27 RYE CIRCLE, SOUTH BURLINGTON, VT 05403-0000
(802) 654-7607
(802) 654-9155
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
415598
MA
1041C0700X
Clinical Social Worker
Primary
0890071481
VT
1041C0700X
Clinical Social Worker
115254
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018309
—
VT
Enumeration date
09/18/2009
Last updated
06/06/2016
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