Individual
KENNON LASHAWN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4323 URN ST, CAPITOL HEIGHTS, MD 20743-5831
(202) 826-0125
Mailing address
4323 URN ST, CAPITOL HEIGHTS, MD 20743-5831
(202) 826-0125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
DC
106S00000X
Behavior Technician
—
DC
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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