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1275977605
JEFFREY T ROSE
BOWLING GREEN, KY
NPI
1275977605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 1219)
Enumeration Date
2013-04-29
Last Update Date
2013-04-29
Business Address
-- JEFFREY T ROSE LCSW
3255 SPRING HOLLOW AVE
BOWLING GREEN, KY 42104-4486
Phone number: 270-779-7395
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Mailing Address
-- JEFFREY T ROSE LCSW
PO BOX 50908
BOWLING GREEN, KY 42102-4208
Phone number: 270-779-7395
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