Rose, Alicia

Rose, Alicia is an sole proprietor health care provider with primary practice located at 8812 Sandy Crest Ct , White Lake MI 48386-2449. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rose, Alicia can be contacted via phone (313) 742-3420.

Contact Information

Primary practice address
8812 Sandy Crest Ct White Lake MI 48386-2449
Phone: (313) 742-3420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 128698-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6901099035 Michigan

Profile Details

NPI number 1952649345
LBN Legal business name Rose, Alicia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2013
Last updated Mar 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952649345 NPPES
Michigan Other 6801099035 LICENSED MASTER SOCIAL WORKER
Michigan Other 128698-121 LICENSED MASTER SOCIAL WORKER

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