Individual
DR. WILLIAM ROSE
Active
Individual
DR. WILLIAM ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10933
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-1936
AZ
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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