Individual
JILLIAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10854 M 32 E, JOHANNESBURG, MI 49751-9622
(989) 354-2197
(989) 354-1952
Mailing address
2715 S TOWNLINE RD, HOUGHTON LAKE, MI 48629-9294
(989) 366-8550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096806
MI
Other
Enumeration date
07/08/2014
Last updated
05/07/2018
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