Individual
MR. ROGER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
207 BROADMOOR DR, RAYMORE, MO 64083-9298
(816) 377-0108
Mailing address
8804 NW 85TH ST, KANSAS CITY, MO 64153-1676
(816) 741-6280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013044749
MO
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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