Individual
SUSAN GAIL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 HUTCHINSON RD, CUMMING, GA 30040-9099
(888) 850-4891
Mailing address
3203 HILL ST, DULUTH, GA 30096-3255
(770) 402-2903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008010
GA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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