Individual
JUNISA ROSARIO ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 MANDOLIN DR, WINTER HAVEN, FL 33884-3580
(863) 624-7161
Mailing address
156 MANDOLIN DR, WINTER HAVEN, FL 33884-3580
(863) 624-7161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS1429
FL
103TS0200X
School Psychologist
SS1429
FL
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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