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Individual

DIANA LAUREN ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
601 FARLEY DR, AUSTIN, TX 78753-3114
(512) 387-5127
Mailing address
601 FARLEY DR, AUSTIN, TX 78753-3114
(512) 387-5127

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
66062
TX
1041C0700X
Clinical Social Worker

Other

Enumeration date
05/27/2022
Last updated
07/31/2024
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