SearchNew York1041S0200X

Jacqueline Rose, LMSW

NPI 1922383595 · on the registry since 2011

Practice

Address
789 Gilmore Ave
North Tonawanda, NY 14120
Phone
(716) 807-3753
Fax
(716) 870-3751
Clinicians at this address
3

Registry record

Primary taxonomy
1041S0200X
1041S0200X
Also registered as
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York