Individual
SEASON MARIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 N OAK ST, COLUMBIA CITY, IN 46725-1608
(260) 244-0264
Mailing address
360 N OAK ST, COLUMBIA CITY, IN 46725-1608
(260) 244-0264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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