MICHAEL RICHARD ROSE

GLENDALE, AZ
NPI1689626293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  lcsw-3693)
Additional Taxonomies101Y00000X Counselor
(Licence: AZ  LCSW-3693)
Enumeration Date2006-05-16
Last Update Date2008-01-30
Business Address
Dr. MICHAEL RICHARD ROSE LCSW, Ph.D.
4915 W BELL RD SUITE 202
GLENDALE, AZ 85308-3425
Phone number: 602-316-3529
Mailing Address
Dr. MICHAEL RICHARD ROSE LCSW, Ph.D.
6604 W TONTO DR
GLENDALE, AZ 85308-7026
Phone number: 602-316-3529