Individual
HEATHER KEENA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5762 US HIGHWAY 31 N, WILLIAMSBURG, MI 49690-9312
(734) 740-0426
Mailing address
5762 US HIGHWAY 31 N, WILLIAMSBURG, MI 49690-9312
(734) 740-0426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851121247
MI
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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