Individual
ROSANNE DE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7260 W VIA MONTOYA DR, GLENDALE, AZ 85310-5282
(623) 217-4765
Mailing address
7260 W VIA MONTOYA DR, GLENDALE, AZ 85310-5282
(623) 217-4765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2589
AZ
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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