Individual
IAN ROSS JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
50 PLEASANT ST, NORTHAMPTON, MA 01060-4127
(413) 584-6855
Mailing address
102 NORTH ST, BELCHERTOWN, MA 01007-9732
(802) 585-4771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115549-01
NY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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