Individual
STACEY L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
1931 BRUNSWICK AVE, LAWRENCE, NJ 08648-4603
(609) 610-2944
Mailing address
225 SHERWOOD AVE, TRENTON, NJ 08619-2246
(609) 610-2944
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
581
NJ
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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