Individual
MR. DANIEL ST. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
10206 LARISTON LN, SILVER SPRING, MD 20903-1311
(202) 431-4159
Mailing address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(301) 677-9528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079327
DC
Other
Enumeration date
10/26/2010
Last updated
03/22/2023
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