Individual
MS. BEILAH B ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 740-8154
(617) 282-7603
Mailing address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 740-8154
(617) 282-7603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301977
—
MA
Enumeration date
06/21/2006
Last updated
07/09/2007
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