Individual
ANGELINA ELIZABETH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 BLUE CYPRESS DR, GROVELAND, FL 34736-8111
(908) 217-8440
Mailing address
591 BLUE CYPRESS DR, GROVELAND, FL 34736-8111
(908) 217-8440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
FL
01
—
568946544
BCBA
FL
01
—
5874
HEALTH PARTNERS
—
Enumeration date
06/05/2022
Last updated
06/05/2022
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