Individual
MRS. CHRISTINA LYNN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 432-7736
Mailing address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 432-7736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60830436
WA
1041C0700X
Clinical Social Worker
LW60830436
WA
Other
Enumeration date
07/15/2020
Last updated
04/12/2023
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