Individual
MRS. NICOLE MARIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 765-6600
Mailing address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 765-6600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2010010927
MO
104100000X
Social Worker
7626
KS
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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