Individual
MS. CAITILIN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1255 BERGEN ST, BROOKLYN, NY 11213-1507
(718) 773-8263
(718) 773-8263
Mailing address
1255 BERGEN ST, BROOKLYN, NY 11213-1507
(718) 773-8263
(718) 773-8263
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
504184041
NY
1041C0700X
Clinical Social Worker
Primary
071415-1
NY
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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