Individual
MS. DEBRA S. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1 BROOKLINE PL, SUITE 426, BROOKLINE, MA 02445-7224
(617) 719-9987
(661) 773-1506
Mailing address
40A SAINT PAUL ST, UNIT #1, BROOKLINE, MA 02446-6502
(617) 232-0513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106387
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006557
VALUE OPTIONS
MA
05
—
1853953
—
MA
01
—
90217752
UBH
MA
01
—
PO6031
BCBS
MA
Enumeration date
06/21/2006
Last updated
07/08/2007
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