Garry Leonard Rose, YPSS CERTIFIED

NPI #1316591050 in Radcliff, Kentucky

Provider Information

NPI Number: 1316591050
Entity Type: Individual
Name: Garry Leonard Rose, YPSS CERTIFIED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: YPSS CERTIFIED
Enumeration Date: Jul 31, 2019
Last Updated: May 13, 2020

Practice Location

Address: 1072 S DIXIE BLVD
City: Radcliff
State: Kentucky
ZIP Code: 40160-1103
Phone: (270) 473-1624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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