Bryon Ross LCSW

NPI 1093789992 - Social Worker - 1041C0700X

NPI Details
NPI 1093789992
Gender Male
Enumeration Date 02/15/2006
Last Updated 02/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
6655 E US HIGHWAY 36
AVON IN, 46123-8923, US
Phone (317) 272-3330
Fax (317) 272-0807
Business Location
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34002964A
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According to our database, Bryon Ross LCSW NPI is 1093789992, taxonomy code is 1041C0700X and license number is 34002964A, license state is located at Indiana. Bryon Ross LCSW physically located at 6655 E Us Highway 36, Avon IN, 46123-8923. NPI Number Bryon Ross LCSW has the Individual type.

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1093789992 NPI number is provided on an as is basis without warranty of any kind. 1093789992 is maintained by the National Plan & Provider Enumeration System. The contents of Bryon Ross LCSW are for informational purposes only.