DERRELL COLBY ROSE

PROVIDENCE, RI
NPI1962109538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  CSW02914)
Enumeration Date2023-02-14
Last Update Date2023-02-14
Business Address
DERRELL COLBY ROSE
382 THAYER ST
PROVIDENCE, RI 02906-1558
Phone number: 401-648-7172
Mailing Address
DERRELL COLBY ROSE
382 THAYER ST
PROVIDENCE, RI 02906-1558
Phone number: 401-648-7172
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