Individual
MS. CARLA JOY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
235 E 87TH ST, APT 4D, NEW YORK, NY 10128-3225
(212) 585-3119
Mailing address
235 E 87TH ST, APT 4D, NEW YORK, NY 10128-3225
(212) 585-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072633-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072633
LCSW STATE LICENSE NUMBER
NY
Enumeration date
02/12/2009
Last updated
11/23/2011
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