Individual
AMY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 591-3099
Mailing address
1705 COTTAGE OAKS CT, BRANDON, FL 33510-2746
(813) 591-3099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15988
FL
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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