Kelly Kristine Rose
NPI #1013583459 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1013583459
- Entity Type
- Individual
- Name
- Kelly Kristine Rose
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 27, 2021
- Last Updated
- Jan 10, 2024
Practice Location
- Address
- 1619 GRACE ST
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28401-3800
- Phone
- (919) 896-0214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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