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Individual

MRS. CAROL L ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSWR

Contact information

Practice address
400 BEWLEY BUILDING, LOCKPORT, NY 14094-2934
(716) 622-2130
Mailing address
3200 LOCKPORT OLCOTT RD, NEWFANE, NY 14108-9674
(716) 622-2130

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
0579971
NY
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000528240001
BCBS
Enumeration date
01/12/2007
Last updated
04/11/2024
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