Individual
ELIZABETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
8435 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 424-2400
(810) 579-7222
Mailing address
9460 S SAGINAW RD, STE D, GRAND BLANC, MI 48439-8207
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011940
MI
Other
Enumeration date
09/01/2006
Last updated
08/08/2017
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