Individual
CONOR ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
8113 LIMA RD STE B, FORT WAYNE, IN 46818-2162
(260) 267-5185
Mailing address
1114 W WAYNE ST APT 5, FORT WAYNE, IN 46802-5970
(929) 420-1895
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012360A
IN
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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