Individual
HEATHER LYNNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ADKINS RD, NORTH CHESTERFIELD, VA 23236-2833
(804) 921-6030
Mailing address
400 ADKINS RD, NORTH CHESTERFIELD, VA 23236-2833
(804) 921-6030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013460
VA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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