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Individual

MR. KEVIN A ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., L.P.C.

Contact information

Practice address
801 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2167
(202) 546-1512
Mailing address
908 DENNIS AVE, SILVER SPRING, MD 20901-2158
(301) 592-0871

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC13659
DC

Other

Enumeration date
01/23/2007
Last updated
07/08/2007
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