Individual
JUDITH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 NEW SOUTH ST, 116, NORTHAMPTON, MA 01060-4073
(413) 582-0471
(413) 582-1807
Mailing address
17 NEW SOUTH ST, 116, NORTHAMPTON, MA 01060-4073
(413) 582-0471
(413) 582-1807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
215866
MA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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