Most Relevant Information
Provider Data
| NPI Number: | 1003271313 |
| Provider Name: | TARA ROSE |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/31/2015 |
| Last Updated: | 05/09/2022 |
Provider Practice Location
5941 CALIFORNIA AVE SW APT 207
SEATTLE
WA
981361668
Practice Location Phone/Fax
| Phone: | 5039013180 |
| Fax: |
Provider Mailing Location
5941 CALIFORNIA AVE SW APT 207
SEATTLE
WA
981361668
Provider Mailing Phone/Fax
| Phone: | 5032229661 |
| Fax: |