Provider Demographics
NPI:1649071028
Name:DUBOSE, ROSA MARY
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:MARY
Last Name:DUBOSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 WILLIS BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-1787
Mailing Address - Country:US
Mailing Address - Phone:973-727-1999
Mailing Address - Fax:
Practice Address - Street 1:3618 SILVERSIDE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-5190
Practice Address - Country:US
Practice Address - Phone:302-725-3120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor