Organization
WHITNEY ROSE, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY ROSE LCSW (OUTPATIENT THERAPIST/LCSW)
(406) 672-5004
Entity
Organization
Contact information
Practice address
2423 MULLAN RD, MISSOULA, MT 59808-1827
(406) 672-5004
(406) 830-3156
Mailing address
2 KASOTA CT, MISSOULA, MT 59803-1257
(406) 672-5004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174977599
—
MT
Enumeration date
10/23/2019
Last updated
10/23/2019
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