Provider Demographics
NPI:1427008333
Name:ROSS, MARY S (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:S
Last Name:ROSS
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:ATTN: CREDENTIALS OFFICE
Mailing Address - Street 2:CMR 442
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09042
Mailing Address - Country:DE
Mailing Address - Phone:49622-117-2274
Mailing Address - Fax:49622-117-2941
Practice Address - Street 1:HEIDELBERG MEDDAC
Practice Address - Street 2:CMR 442
Practice Address - City:APO AE
Practice Address - State:NY
Practice Address - Zip Code:09042
Practice Address - Country:US
Practice Address - Phone:496-221-1722
Practice Address - Fax:496-221-1729
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0692071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical