Individual
MRS. MARION CHRISTINE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
133 EXECUTIVE DR STE A, MADISON, MS 39110
(601) 665-2047
(800) 476-4191
Mailing address
133 EXECUTIVE DR STE A, MADISON, MS 39110-8440
(601) 665-2047
(800) 476-4191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C2287
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04478331
—
MS
Enumeration date
06/10/2005
Last updated
07/13/2018
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