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Individual

ADDISON LEE ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
700 N SACRAMENTO BLVD STE 201, CHICAGO, IL 60612-1058
(847) 907-0783
(773) 826-9117
Mailing address
700 N SACRAMENTO BLVD STE 201, CHICAGO, IL 60612-1058

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.102879
IL

Other

Enumeration date
05/29/2020
Last updated
05/29/2020
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