MS. Judith Alicia Rose, LCSW
NPI #1467653097 in East Quogue, New York
Provider Information
- NPI Number
- 1467653097
- Entity Type
- Individual
- Name
- MS. Judith Alicia Rose, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 429 MONTAUK HWY
- City
- East Quogue
- State
- New York
- ZIP Code
- 11942-3919
- Phone
- (631) 653-8664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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