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1548808280
MICHAEL ANTHONY ROSE
LOUISVILLE, KY
NPI
1548808280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 245401)
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
MICHAEL ANTHONY ROSE MA, TCADC
1028 BARRET AVE
LOUISVILLE, KY 40204-1667
Phone number: 502-451-1221
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Mailing Address
MICHAEL ANTHONY ROSE MA, TCADC
1028 BARRET AVE
LOUISVILLE, KY 40204-1667
Phone number: 502-451-1221
Copy
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