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Organization

ALICIA ROSE LLC

Active
Other names
Rose Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA ROSE LSCSW, LAC (OWNER, THERAPIST)
(620) 664-8391
Entity
Organization

Contact information

Practice address
1716 E 30TH AVE, SUITE B, HUTCHINSON, KS 67502-1230
(888) 406-5778
Mailing address
1716 E 30TH AVE, SUITE B, HUTCHINSON, KS 67502-1230
(888) 406-5778

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4317
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006909029
MEDICARE ID
KS
05
200974940A
KS
Enumeration date
06/26/2016
Last updated
06/26/2016
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