Individual
CARRIE ANNE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 LYON ST NE, GRAND RAPIDS, MI 49503-5607
(616) 451-2039
(616) 451-3590
Mailing address
324 LYON ST NE, GRAND RAPIDS, MI 49503-5607
(616) 451-2039
(616) 451-3590
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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