Individual
ALEXANDRA BRENNAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 STERLING ST, MEDFORD, MA 02155-5915
(203) 931-5231
Mailing address
593 LONG HILL RD, GUILFORD, CT 06437-1880
(203) 931-5231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
013704
CT
1041C0700X
Clinical Social Worker
Primary
LICSW127761
MA
Other
Enumeration date
02/09/2024
Last updated
01/10/2025
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