Individual
KAYLA ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 W PARK AVE, CHARLOTTE, NC 28203-4438
(704) 968-3186
Mailing address
2539 GRIMMERSBOROUGH LN, CHARLOTTE, NC 28270-3715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P018067
NC
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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