Season Marie Rose

NPI #1851900500 in Columbia City, Indiana

Provider Information

NPI Number: 1851900500
Entity Type: Individual
Name: Season Marie Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 29, 2020
Last Updated: Jul 29, 2020

Practice Location

Address: 360 N OAK ST
City: Columbia City
State: Indiana
ZIP Code: 46725-1608
Phone: (260) 244-0264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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