Individual
MR. DAVID JOHN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-3124
Mailing address
PO BOX 3647, LONGVIEW, TX 75606-3647
(903) 758-2610
(903) 248-9139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S85G
BCBS
—
01
—
86471Q
BCBS
—
01
—
87250Q
BCBS
—
Enumeration date
08/15/2006
Last updated
03/17/2008
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