Individual
KATHLEEN E ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2840 POST RD, PLOVER, WI 54467-3443
(715) 347-5570
(715) 347-5560
Mailing address
2840 POST RD, PLOVER, WI 54467-3443
(715) 347-5570
(715) 347-5560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7181-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40989600
—
WI
Enumeration date
01/06/2007
Last updated
07/09/2007
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