Lisa Ross

NPI #1790948396 in Benton, Arkansas

Provider Information

NPI Number
1790948396
Entity Type
Individual
Name
Lisa Ross
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Jul 3, 2008
Last Updated
Jul 3, 2008

Practice Location

Address
100 RIVENDELL DR
City
Benton
ZIP Code
72019-9188
Phone
(501) 316-1255

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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