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Contact Information

ANGELA M ROSS, LCSW
1109 W CLAY RD
VERSAILLES, MO65084
 Phone: 573-378-2349
 Fax: 888-979-8868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ANGELA M ROSS · (Female)

NPI Number 1023029832
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/10/2006
Last updated 07/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149-009253
  • MO License # 2016030115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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