Individual
LASONJA RENA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW-S, PIP
Contact information
Practice address
140 EAGLE ROCK BND, MILLBROOK, AL 36054-1779
(334) 652-3337
Mailing address
PO BOX 98, MILLBROOK, AL 36054-0002
(334) 294-9709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4382C-S
AL
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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