GORDON DOUGLAS ROSE

NORWALK, CA
NPI1427098409
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CA  PSY12141)
Enumeration Date2006-06-07
Last Update Date2007-07-08
Business Address
GORDON DOUGLAS ROSE PH D
11401 SOUTH BLOOMFIELD AVENUE
NORWALK, CA 90650
Phone number: 562-863-7011
Mailing Address
GORDON DOUGLAS ROSE PH D
1600 9TH STREET ROOM 205 MAILSTOP 2-3
SACRAMENTO, CA 95814-6414
Phone number: 916-654-2431
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