Individual
MARTHA L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
206 E BLUE STAR DRIVE, CLAREMORE, OK 74017
(918) 341-8100
(918) 341-8139
Mailing address
339 N TAYLOR ST, PRYOR, OK 74361
(918) 257-4244
(918) 257-4247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
11/13/2013
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