Provider Demographics
NPI:1821217431
Name:ROZE, PAULA ANN (LMSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ANN
Last Name:ROZE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S WILLIAMS BLVD
Mailing Address - Street 2:SUITE # 260
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4496
Mailing Address - Country:US
Mailing Address - Phone:520-822-8540
Mailing Address - Fax:520-547-1786
Practice Address - Street 1:350 S WILLIAMS BLVD
Practice Address - Street 2:SUITE # 260
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4496
Practice Address - Country:US
Practice Address - Phone:520-822-8540
Practice Address - Fax:520-547-1786
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW117561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical