Individual
LISA MARIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
2025 S BRENTWOOD, SUITE 206, ST LOUIS, MO 63144
(314) 963-8900
(314) 963-8950
Mailing address
2025 S BRENTWOOD, SUITE 206, ST LOUIS, MO 63144
(314) 963-8900
(314) 963-8950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003022744
MO
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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