Mariam Ross, LW60276157
NPI #1962555656 in Clinton, Washington
Provider Information
- NPI Number
- 1962555656
- Entity Type
- Individual
- Name
- Mariam Ross, LW60276157
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LW60276157
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Jul 1, 2014
Practice Location
- Address
- 11245 STATE ROUTE 525
- City
- Clinton
- State
- Washington
- ZIP Code
- 98236-8638
- Phone
- (360) 341-5252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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