Individual
AMANDA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 DESPLAINES AVENUE, UNIT 607, FOREST PARK, IL 60130
(708) 813-0333
Mailing address
1037 DESPLAINES AVENUE, UNIT 607, FOREST PARK, IL 60130
(708) 813-0333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015810
IL
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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