MS. Miriam Louise Ross, LICSW

NPI #1265678148 in West Newton, Massachusetts

Provider Information

NPI Number: 1265678148
Entity Type: Individual
Name: MS. Miriam Louise Ross, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Dec 26, 2008
Last Updated: Dec 26, 2008

Practice Location

Address: 15 VINCENT ST
City: West Newton
State: Massachusetts
ZIP Code: 02465-1915
Phone: (617) 964-3676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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