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Individual

SHANON RAE ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
100 W HAWKINS PKWY, LONGVIEW, TX 75605-1816
(903) 663-3310
Mailing address
156 OAKRIDGE LN, LONGVIEW, TX 75605-5952
(903) 452-7677

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69127
TX

Other

Enumeration date
09/27/2021
Last updated
09/27/2021
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