Individual
STEPHANIE DIANNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1480 DARLINGTON AVE, CRAWFORDSVILLE, IN 47933-2007
(765) 362-2852
Mailing address
1201 W MAIN ST, CRAWFORDSVILLE, IN 47933-1106
(937) 532-4914
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
99072078A
IN
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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