Individual
KRISTINA D ROOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 584-0725
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 584-0725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW024722
PA
Other
Enumeration date
02/17/2022
Last updated
03/06/2025
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