Individual
MRS. MARTHA T. ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1855 CRANE RIDGE DRIVE, JACKSON, MS 39216
(601) 982-8700
Mailing address
1855 CRANE RIDGE DRIVE, JACKSON, MS 39216
(601) 982-8700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2705
MS
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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