Individual
MIRANDA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS CMS
Contact information
Practice address
401 TUSCARAWAS ST W STE 501, CANTON, OH 44702-2045
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2302864-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
12/23/2020
Last updated
02/23/2023
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