Individual
MR. BRANDON ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 344-7700
Mailing address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 344-7700
(540) 344-7701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010196
VA
Other
Enumeration date
12/13/2017
Last updated
03/17/2018
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