Individual
DESIREE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
211 10TH ST, WAKEFIELD, NE 68784-5014
(402) 287-2061
Mailing address
211 10TH ST, WAKEFIELD, NE 68784-5014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014011338
NE
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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