Individual
TERRI LYNN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1701 LAKE LANSING RD STE 120, LANSING, MI 48912-3798
(810) 494-7180
(810) 715-1334
Mailing address
133 WESTOWN DR NW APT 302, GRAND RAPIDS, MI 49534-3715
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3824
FL
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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