| Doctor Name: | MRS. MARY S ROSS |
| NPI Number: | 1427008333 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 069207 |
| Business Practice Address: | Heidelberg Meddac Cmr 442 Apo Ae, NY - 09042 |
| Business Phone Number: | 4962211722 |
| Business Fax Number: | 4962211729 |
| Mailing Address: | Attn: Credentials Office, Cmr 442 APO |
| State: | AE |
| Postal Code: | 09042 |
| Phone Number: | 49-6221-17-2274 |
| Fax Number: | 49-6221-17-2941 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 069207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |