Individual
SHARON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
17-195 IPUAIWAHA ST, KEAAU, HI 96749-8230
(808) 966-8849
Mailing address
PO BOX 1225, VOLCANO, HI 96785-1225
(808) 854-7454
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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