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Individual

MS. ETTA M. ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, MA

Contact information

Practice address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122
(504) 948-6080
Mailing address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 948-6080

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/20/2017
Last updated
07/21/2022
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