Individual
DANIEL WILLIAM ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1790 NATIONS DR STE 214, GURNEE, IL 60031-9176
(224) 501-0479
Mailing address
469 ENFIELD LN, GRAYSLAKE, IL 60030-4424
(224) 501-0479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.023744
IL
1041C0700X
Clinical Social Worker
C-10005
NM
Other
Enumeration date
02/09/2015
Last updated
11/15/2023
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