Individual
AMY RENEE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW; MSW U/S
Contact information
Practice address
501 E 15TH ST STE 400A, EDMOND, OK 73013-5046
(405) 216-5240
Mailing address
249 NW 82ND ST, OKLAHOMA CITY, OK 73114-3314
(580) 235-9141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6509
OK
Other
Enumeration date
10/12/2020
Last updated
12/08/2020
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