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Individual

DR. KATHLEEN ANN ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LCSW

Contact information

Practice address
255 S 17TH ST, SUITE 1305, PHILADELPHIA, PA 19103-6231
(267) 312-0676
Mailing address
255 S 17TH ST, SUITE 1305, PHILADELPHIA, PA 19103-6231
(267) 312-0676

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017328
PA

Other

Enumeration date
06/22/2009
Last updated
10/04/2013
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