Individual
MARIAM ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LW60276157
Contact information
Practice address
11245 STATE ROUTE 525, CLINTON, WA 98236-8638
(360) 341-5252
(360) 341-8727
Mailing address
PO BOX 3603, SEATTLE, WA 98124-3603
(360) 341-5252
(360) 341-8727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60276157
WA
Other
Enumeration date
01/18/2007
Last updated
07/01/2014
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