Individual
MRS. DEBRA L ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3573 HOLLYWOOD RD, SAINT JOSEPH, MI 49085
(269) 428-4789
Mailing address
7041 STEVENSVILLE BARODA RD, STEVENSVILLE, MI 49127-9782
(269) 326-7032
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006734
MI
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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