Derrell Colby Rose
Derrell Colby Rose is a Clinical Social Worker in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.
- Licensed in
- RI
- In the registry since
- 2023
Practice location Address checks out
382 Thayer StProvidence, RI 02906-1558
Phone: (401) 648-7172
Fax: (401) 648-0161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence CSW02914 (RI) |
|---|
Record details
| NPI number | 1962109538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 14, 2023 |
| Last updated in NPPES | February 14, 2023 |
| Certification date | February 13, 2023 |
| Mailing address | 382 Thayer St, Providence, RI 02906-1558 |
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