Individual
ANDREA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
37899 W 12 MILE RD, SUITE 130, FARMINGTON HILLS, MI 48331-3048
(248) 476-2229
(248) 476-4434
Mailing address
37899 W 12 MILE RD, SUITE 130, FARMINGTON HILLS, MI 48331-3048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801034474
MI
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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