Individual
STEPHANIE F. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2601 KAVANAUGH BLVD STE 5, LITTLE ROCK, AR 72205-3991
(501) 663-8990
Mailing address
2601 KAVANAUGH BLVD STE 5, LITTLE ROCK, AR 72205-3991
(501) 663-8990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3529-C
AR
104100000X
Social Worker
2486-M
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
09/12/2007
Last updated
10/13/2019
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