Individual
SARAH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
302 WEST LAKE ST., FRIENDSHIP, WI 55934
(920) 787-5514
(920) 787-4737
Mailing address
LA CLINICA DE LOS CAMPESINOS, INC., PO BOX 1440, WAUTOMA, WI 54982-6922
(920) 787-5514
(920) 787-4737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18665-130
WI
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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