Individual
MS. CYNTHIA ALISE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LISW
Contact information
Practice address
1400 CARLISLE BLVD NE, SUITE 1, ALBUQUERQUE, NM 87110-5658
(505) 610-9024
(505) 212-0211
Mailing address
1400 CARLISLE BLVD NE, SUITE 1, ALBUQUERQUE, NM 87110-5658
(505) 610-9024
(505) 212-0211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2083
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00096782
—
NM
Enumeration date
08/16/2006
Last updated
07/08/2007
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