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Individual
MRS. JEANNETTE D ROSS
Active
Individual
MRS. JEANNETTE D ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0002147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105340
CIGNA BEHAV HEALTH
FL
05
—
689672396
—
FL
01
—
Z2818
BLUE CROSS BLUE SHIELD
FL
01
—
Z2818A
PTAN
FL
Enumeration date
07/26/2006
Last updated
01/14/2015
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