Individual
ROSS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
63 3RD ST, MANSFIELD, PA 16933-1262
(570) 662-7600
Mailing address
35 ROWLEY RD, ULYSSES, PA 16948-9553
(814) 203-6669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139949
PA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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