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1235885526
JERRY ROSE
WICHITA, KS
NPI
1235885526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KS LPC04019)
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
JERRY ROSE LPC
825 N WACO AVE
WICHITA, KS 67203-3939
Phone number: 316-201-6047
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Mailing Address
JERRY ROSE LPC
825 N WACO AVE
WICHITA, KS 67203-3939
Phone number: 316-201-6074
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