Individual
SAMUEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 SYCAMORE STA, DECATUR, GA 30030-2759
(404) 618-3040
Mailing address
58 SYCAMORE STA, DECATUR, GA 30030-2759
(404) 618-3040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007652
GA
Other
Enumeration date
10/24/2016
Last updated
11/18/2025
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