Individual
HEATHER NICOLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1095 MAIN ST, MILTON, WV 25541-0015
(681) 233-0710
Mailing address
1095 MAIN ST, MILTON, WV 25541-0015
(681) 233-0710
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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