Organization
CARRIE ROSEN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROSEN LCSW (OWNER)
(808) 226-9546
Entity
Organization
Contact information
Practice address
2471 W 1675 S, WEST HAVEN, UT 84401-6766
(808) 226-9546
Mailing address
2471 W 1675 S, WEST HAVEN, UT 84401-6766
(808) 226-9546
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20190826359681
—
HI
Enumeration date
12/01/2023
Last updated
03/13/2025
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