Individual
JANE L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
152 SYLVAN ST, DANVERS, MA 01923-3558
(978) 774-6820
Mailing address
152 SYLVAN ST, DANVERS, MA 01923-3558
(978) 774-6820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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