Individual
KATHERINE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
210 HADDON AVE, HADDON TOWNSHIP, NJ 08108-2816
(856) 278-3054
Mailing address
41 E ATLANTIC AVE, AUDUBON, NJ 08106-1401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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