Individual
MRS. LAURA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 HARRIS AVE, NEEDHAM, MA 02492-3335
(781) 455-0480
Mailing address
118 CENTRAL ST, WALTHAM, MA 02453-5465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
413942
MA
104100000X
Social Worker
Primary
226023
MA
1041S0200X
School Social Worker
523687
MA
Other
Enumeration date
07/14/2015
Last updated
12/22/2022
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