Individual
DIANE CHRISTINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
(785) 742-3085
Mailing address
454 FAWN RIDGE DR, OAKLAND, OR 97462-9600
(541) 680-1501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2335
KS
Other
Enumeration date
08/31/2006
Last updated
07/01/2013
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