Amanda Ross

NPI #1740828227 in Forest Park, Illinois

Provider Information

NPI Number: 1740828227
Entity Type: Individual
Name: Amanda Ross
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 1037 DESPLAINES AVENUE
Address 2: UNIT 607
City: Forest Park
State: Illinois
ZIP Code: 60130
Phone: (708) 813-0333

Specialties & Taxonomy Codes

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

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