MEDICARE: MRS. KRISTINE PAULA ZWERLEIN-ROSE LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	11791	MD

General Provider Information

NPI Number	:	1972845758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINE PAULA ZWERLEIN-ROSE LCSW-C

Provider Business Mailing Address
First Line	:	1968 PATRIOT ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-9200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 PATRIOT ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-9200
Country	:	US
Telephone Number	:	443-278-6230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	03/20/2013

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