Individual
MRS. KIM A. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
(863) 294-7064
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-1355
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW0004580
FL
Other
Enumeration date
01/30/2007
Last updated
04/07/2017
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