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Individual

MRS. CAROL ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED. L.P.C.

Contact information

Practice address
3838 OAK LAWN AVE, SUITE 812, DALLAS, TX 75219-4520
(214) 538-1567
Mailing address
6304 DOUGLAS AVE, DALLAS, TX 75205-1615
(214) 361-6064

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20005
TX

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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