KENNETH EDWARD ROSE

SOUTHFIELD, MI
NPI1275188088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801094266)
Enumeration Date2019-08-08
Last Update Date2019-08-08
Business Address
KENNETH EDWARD ROSE
20411 W 12 MILE RD
SOUTHFIELD, MI 48076-5414
Phone number: 866-703-1901
Mailing Address
KENNETH EDWARD ROSE
4753 BRADEN ST
DETROIT, MI 48210-2331
Phone number: 313-587-5995