Individual
ROSS EUGENE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
21825 155TH STREET, BASEHOR, KS 66007
(913) 416-0522
Mailing address
21825 155TH STREET, BASEHOR, KS 66007
(913) 416-0522
(913) 724-4900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7545
KS
104100000X
Social Worker
7601
KS
Other
Enumeration date
09/03/2009
Last updated
10/01/2009
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