Individual
MISS DESIREE KENYETTA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
89 SAGEWOOD DR, MALVERN, PA 19355-2234
(718) 757-0643
Mailing address
89 SAGEWOOD DR, MALVERN, PA 19355-2234
(718) 757-0643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CW016207
PA
Other
Enumeration date
11/08/2006
Last updated
09/26/2023
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