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1013065655
CAROLE R ROSE
CORAM, NY
NPI
1013065655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R028910-1)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Ms. CAROLE R ROSE LCSW
5 CHIPMUNK TRL
CORAM, NY 11727-2135
Phone number: 631-828-4639
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Mailing Address
Ms. CAROLE R ROSE LCSW
5 CHIPMUNK TRL
CORAM, NY 11727-2135
Phone number: 631-828-4639
Copy
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