Individual
MR. ANDREW HINCKLEY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MA
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7994392-3502
UT
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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