Individual
ALICIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8812 SANDY CREST CT, WHITE LAKE, MI 48386-2449
(313) 742-3420
Mailing address
8812 SANDY CREST CT, WHITE LAKE, MI 48386-2449
(313) 742-3420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
128698-121
WI
1041C0700X
Clinical Social Worker
Primary
6901099035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128698-121
ADVANCED PRACTICE SOCIAL WORKER
WI
01
—
6801099035
LICENSED MASTER SOCIAL WORKER
MI
Enumeration date
01/21/2013
Last updated
03/20/2024
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