Individual
MRS. LAURA BETH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
5161 W RIVIERA DR, GLENDALE, AZ 85304-1990
(443) 858-5507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17422
AZ
Other
Enumeration date
02/05/2019
Last updated
02/07/2019
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