Individual
LUCIA SUSAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDHR CERT PEER
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61318608
WA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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