MR. Glenn Rose, LSW1887
NPI #1154507796 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1154507796
- Entity Type
- Individual
- Name
- MR. Glenn Rose, LSW1887
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LSW1887
- Enumeration Date
- Jan 14, 2008
- Last Updated
- Jan 14, 2008
Practice Location
- Address
- 1740 E 17TH ST STE B
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6375
- Phone
- (208) 529-8832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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