Stephanie Ross

NPI #1699257634 in Garden Valley, Idaho

Provider Information

NPI Number: 1699257634
Entity Type: Individual
Name: Stephanie Ross
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 25 MIRACLE LANE
City: Garden Valley
State: Idaho
ZIP Code: 83622-8362
Phone: (208) 462-3074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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