Individual
JORJA LAUREN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-4153
(202) 232-6100
Mailing address
4613 15TH ST NW, WASHINGTON, DC 20011-4318
(405) 326-4033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGPC20000182
DC
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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