Organization
FAMILY BUSINESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNE ROSE PH. D. (LCSW)
(239) 738-9114
Entity
Organization
Contact information
Practice address
923 DEL PRADO BLVD S, SUITE 205, CAPE CORAL, FL 33990-3652
(239) 738-9114
(239) 242-6389
Mailing address
923 DEL PRADO BLVD S, SUITE 205, CAPE CORAL, FL 33990-3652
(239) 738-9114
(239) 242-6389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW1103
LICENSED CLINICAL SOCIAL WORKER
FL
Enumeration date
07/25/2008
Last updated
07/25/2008
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