Individual
MS. IRMA GARCIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MA
Contact information
Practice address
1012 N 5TH AVE NE, ROME, GA 30165-2602
(706) 232-1111
(706) 387-3435
Mailing address
1012 N 5TH AVE NE, ROME, GA 30165-2602
(706) 232-1111
(706) 378-3435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0252491
NY
1041C0700X
Clinical Social Worker
Primary
CSW002837
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11622429
CAQH
GA
01
—
11622429
CAQH
—
Enumeration date
03/03/2007
Last updated
07/13/2010
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