Organization
JEANNE H. ROSS, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE ROSS M.S.W. (LICENSED CLINICAL SOCIAL WORKER)
(302) 463-5434
Entity
Organization
Contact information
Practice address
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438-6793
(302) 463-5434
Mailing address
1219 HEMLOCK FARMS, HAWLEY, PA 18428-9014
(302) 463-5434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R018523
NY
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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