JEFFREY T ROSE

BOWLING GREEN, KY
NPI1275977605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  1219)
Enumeration Date2013-04-29
Last Update Date2013-04-29
Business Address
-- JEFFREY T ROSE LCSW
3255 SPRING HOLLOW AVE
BOWLING GREEN, KY 42104-4486
Phone number: 270-779-7395
Mailing Address
-- JEFFREY T ROSE LCSW
PO BOX 50908
BOWLING GREEN, KY 42102-4208
Phone number: 270-779-7395