Individual
JUNE DENICE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4449 N 12TH ST, SUITE A1, PHOENIX, AZ 85014-4520
(602) 279-1427
(602) 279-1431
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1882758
AZ
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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