| Stephanie Haney Rose Licsw, Pllc | |
|
27 Rye Cir South Burlington VT 05403-7632 | |
| (802) 654-7607 | |
| (802) 654-9155 |
| Full Name | Stephanie Haney Rose Licsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27 Rye Cir, South Burlington, Vermont |
| Authorized Official Name and Position | Stephanie Haney Rose (SOLE MEMBER) |
| Authorized Official Contact | 8023240348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Haney Rose Licsw, Pllc 27 Rye Cir South Burlington VT 05403-7632 Ph: (802) 654-7607 | Stephanie Haney Rose Licsw, Pllc 27 Rye Cir South Burlington VT 05403-7632 Ph: (802) 654-7607 |
| NPI Number | 1700632403 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700632403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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