Individual
NANCY S ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
10000 BROAD RIVER RD, IRMO, SC 29063-2361
(803) 730-4993
(803) 434-4918
Mailing address
208 COPPER RIDGE RD, COLUMBIA, SC 29212-8212
(803) 730-4993
(803) 434-4918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5021
STATE LICENSURE
SC
Enumeration date
07/26/2006
Last updated
01/12/2010
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