Most Relevant Information
Provider Data
| NPI Number: | 1003324591 |
| Provider Name: | KYLE ROSE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/18/2018 |
| Last Updated: | 01/18/2018 |
Provider Practice Location
3100 EUCLID AVE
CLEVELAND
OH
441152508
Practice Location Phone/Fax
| Phone: | 2163614400 |
| Fax: | 2163612340 |
Provider Mailing Location
3100 EUCLID AVE
CLEVELAND
OH
441152508
Provider Mailing Phone/Fax
| Phone: | 2163614400 |
| Fax: | 2163612340 |