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1851094353
DEREK ROSE
MARTINSVILLE, VA
NPI
1851094353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701012026)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
DEREK ROSE MS, LPC
15 CLEVELAND AVE STE 11
MARTINSVILLE, VA 24112-2926
Phone number: 276-634-8304
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Mailing Address
DEREK ROSE MS, LPC
15 CLEVELAND AVE STE 11
MARTINSVILLE, VA 24112-2926
Phone number: 276-634-8304
Copy
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