Individual
NATHAN DANIEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9233 WARD PKWY STE 125, KANSAS CITY, MO 64114-3340
(816) 853-1595
Mailing address
407 NE ADAMS DAIRY PKWY, BLUE SPRINGS, MO 64014-5477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021021244
MO
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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