Individual
MRS. SARA ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19530 DOCTORS DR, GERMANTOWN, MD 20874-5200
(240) 686-0707
(240) 686-0711
Mailing address
19530 DOCTORS DR, GERMANTOWN, MD 20874-5200
(240) 686-0707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP3290
MD
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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